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6308
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Relapsing fever

A bacterial infection transmitted by lice or ticks, causing recurring episodes of fever.

What the rating means

Relapsing fever is rated under the General Rating Formula for Infectious Diseases. While the disease is active, VA rates it at 100%. Once the active disease has resolved, the infection itself is rated at 0%. However, if the infection has caused lasting damage to other parts of your body, VA rates each of those residual disabilities separately under the appropriate body system. The regulation specifically mentions liver or spleen damage, iritis, uveitis, and central nervous system involvement as examples of residuals that would be rated this way. This means your overall combined evaluation could reflect more than just the resolved infection, depending on what lasting effects remain.

Evidence that helps

For the 100% active-disease rating, medical records confirming a current, active relapsing fever diagnosis are central. This includes lab results, physician notes, and hospitalization records showing the disease is ongoing. Once the disease resolves, evidence supporting residual disability ratings would depend on which body system is affected. For liver or spleen damage, imaging studies, lab work, and specialist evaluations would be relevant. For iritis or uveitis, ophthalmology records and vision test results matter. For central nervous system involvement, neurological exam findings, imaging, and cognitive or functional assessments would be pertinent. Statements from you or people who know you describing how these residual conditions affect your work and daily life can also support the severity of any residual disability rating.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.