Evidence map›Paper›PMID 41717054›Full record

ArticleIDCases2026

Fever from the shadows: Borrelia duttonii in a migrant in Italy.

Claudio Ucciferri, Francesca Chiappini, Alessandra Gambi, Jacopo Vecchiet, Katia Falasca

Abstract read
In one paragraph

Article in IDCases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Claudio UcciferriInfectious Disease Clinic, S. Maria Hospital Terni, Department of Medicine and Surgery, University of Perugia, Perugia, Italy.
Francesca ChiappiniClinic of Infectious Diseases - Department of Medicine and Science of Aging, "G. d'Annunzio" University Chieti, Pescara, Italy.
Alessandra GambiLaboratory of Clinical Pathology and Microbiology, SS Annunziata Hospital, ASL2Abruzzo Chieti, Italy.
Jacopo VecchietClinic of Infectious Diseases - Department of Medicine and Science of Aging, "G. d'Annunzio" University Chieti, Pescara, Italy.
Katia FalascaClinic of Infectious Diseases - Department of Medicine and Science of Aging, "G. d'Annunzio" University Chieti, Pescara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In a striking diagnostic breakthrough, a Senegalese man arrived at SS. Annunziata Hospital in Chieti gripped by relentless high fever, throbbing headache, vomiting, right hypochondrium tenderness, lower limb myalgias, generalized lymphadenopathy, conjunctival injection, and photophobia-signaling a systemic infection with neurologic red flags. Labs showed thrombocytopenia, elevated CRP, procalcitonin, and indirect hyperbilirubinemia; lumbar puncture was negative. The game-changer came during peak fever: an extraordinarily rare visual spectacle on peripheral blood smear-motile spirochetes "dancing" under the microscope, a near-mythical "smoking gun" for Borrelia species, far less common than for Plasmodium. Real-time PCR confirmed Borrelia duttonii, the culprit of soft tick-borne relapsing fever This case highlights that in this world we must always be ready to make unusual diagnoses.

Indexed as

Borrelia duttoniiMicroscopy breakthroughMigrantRare blood smearRelapsing feverSTBRF

Identifiers

PMID41717054
PMCPMC12914306

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.