Official websites use .gov
A
.gov website belongs to an official
government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you've safely
connected to the .gov website. Share sensitive
information only on official, secure websites.
Time course of Jarisch-Herxheimer reaction (J-HR) in relapsing fever. Antimicrobial therapy was started at time 0. Symptoms of rapid decrease in temperature, hypotension, and thrombocytopenia correlated with peripheral blood spirochete clearance (pattern). Sepsis resulted in elevated serum cardiac troponin without acute coronary syndrome at 36 and 48 hours compared to time 0.
