Gastrointestinal and Hepatic Manifestations of Tickborne Diseases in the United States

1. Syed Ali Zaidi and 
2. Carol Singer

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Author Affiliations

1. Division of Infectious Diseases, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, New York

1. Reprints or correspondence: Dr. Carol Singer, Long Island Jewish Medical Center, Rm. S226, Staff House Bldg., 270-05 76th Ave., New Hyde Park, NY 11040 (csinger@lij.edu).

 

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Abstract

Signs and symptoms related to the gastrointestinal tract and liver may provide important clues for the diagnosis of various tickborne diseases prevalent in different geographic areas of the United States. We review clinical and laboratory features that may be helpful in detecting a tickborne infection. Physicians evaluating patients who live in or travel to areas where tickborne diseases are endemic and who present with an acute febrile illness and gastrointestinal manifestations should maintain a high index of suspicion for one of these disease entities, particularly if the patient has received a tick bite. If detected early, many of these potentially serious illnesses can be easily and effectively treated, thereby avoiding serious morbidity and even death.

Full article:

http://cid.oxfordjournals.org/content/34/9/1206.long

Notice all the tick borne diseases that have vomiting as symptom and esp TBRF (tick-borne relapsing fever).