%0 Journal Article %T Elevated Troponin and Jarisch-Herxheimer Reaction in Tick-Borne Relapsing Fever: A Case Report %A Kenneth A. Hoekstra %A Michael T. Kelly %J Case Reports in Infectious Diseases %D 2011 %I Hindawi Publishing Corporation %R 10.1155/2011/950314 %X We describe a patient with fever and borreliosis in the Northwestern Washington State, USA. The patient exhibited a classic Jarisch-Herxheimer reaction of tachycardia, hypotension, and thrombocytopenia following antimicrobial therapy, and she also developed an elevated serum cardiac troponin during therapy. %U http://www.hindawi.com/crim/id/2011/950314/