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Dr. Sadi de Buen in 1922 found the first case of relapsing fever in Spain, at Cáceres. Now he has reported to the Medical and Surgical Academy the results of his investigations on the prevalence of the disease. Relapsing fever is rather common in Spain, and has been found in the provinces of Toledo, Caceres, Badajoz, Huelva, Cordoba and Sevilla. Sixty-two patients have already been discovered in an extensive area lying in the southwest and center of Spain, and in all the diagnosis has been microscopically confirmed. In the eastern and southeastern parts, cases have not been found.Dr. Sadi de Buen has isolated two different strains, one at Huelva and the other at Cordoba. They do not conform to the traits of European relapsing fever but seem to represent a type very close to but not identical with the African variety. The course is very mild, and
MADRID. JAMA. 1926;87(19):1573–1574. doi:10.1001/jama.1926.02680190049023
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