leptospirosis algorithm peds em im pcc centor hypotension borrelia recurrentis - GrepMed

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Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever

Borrelia recurrentis ... Similar symptoms occ ... Vector and epidemiology ... or PenG 800K U IM ... myalgias and possibly hypotension

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