We herein report a case of suspected disease in Hokkaido, Japan. The patient complained of lassitude, arthralgia, and high fever after a tick bite. Furthermore, at the time of consultation, the patient exhibited momentary loss of consciousness and low blood pressure. Laboratory tests revealed elevation of liver enzymes, thrombocytopenia, and increased C-reactive protein. Seroconversion to glycerophosphoryl diester phosphodiesterase antigen suggested the patient was infected with a relapsing fever group species.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508891PMC
http://dx.doi.org/10.4269/ajtmh.16-0699DOI Listing

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