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Despite aggressive therapeutic measures including appropriate antibiotics and multiple exchange blood transfusions, she developed septic shock and fulminant multiple organ failure with eventual demise. In this article, we highlight multiple tick-borne illnesses in a vulnerable host, in this case an elderly patient with liver cirrhosis, as risk factors for severe morbidity and potentially fatal outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2014-208182","type":"journal-article","created":{"date-parts":[[2015,3,2]],"date-time":"2015-03-02T06:17:18Z","timestamp":1425277038000},"page":"bcr2014208182","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Fatal multiple deer tick-borne infections in an elderly patient with advanced liver disease"],"prefix":"10.1136","volume":"2015","author":[{"given":"Shiven","family":"Chabria","sequence":"first","affiliation":[{"name":"Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onyema","family":"Ogbuagu","sequence":"additional","affiliation":[{"name":"Section of Infectious Diseases, Yale University School of Medicine, New Haven, Connecticut, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,3,2]]},"reference":[{"key":"2025082722054775000_2015.mar02_1.bcr2014208182.1","unstructured":"CDC. 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