Tick Talk: Unusually Severe Case of Tick-Borne Relapsing Fever With Acute Respiratory Distress Syndrome—Case Report and Review of the Literature

Borrelia hermsii causes tick-borne relapsing fever (TBRF) in the Pacific Northwest. There are few reports of TBRF-associated acute respiratory distress syndrome. One such unusually severe case is described. Literature is reviewed including diagnosis, treatment, and prevention.