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Ethiopian patients with LBRF. (A) Profuse petechial rash on the trunk in an emaciated patient with complicating infection with Salmonella enterica serovar Typhi (S. Typhi). (B) Subconjunctival haemorrhages and jaundice indicative of hepatocellular damage, thrombocytopenia and coagulopathy. (C) B. recurrentis spirochaetes arrowed (silver stain) in the splenic pulp. (D) Cerebral haemorrhage on the 6th day of illness, a common cause of death in patients with LBRF.
