It exists, essentially, in two, epidemiological forms: recurrent fever (FR) carried by fleas, resulting in wide scale epidemics; recurrent fever carried by ticks (soft ticks) of the ornithodorus type which results in localized, endemo-sporadic manifestations throughout the world. The second type is the main one in these regions, but the first is not uncommon. The report covers a peculiar case of flea-borne borreliosis occurring in a pregnant woman and associated with the presence of HBS antigen and plasmodium falciparum malaria. Although the review of literature is not exhaustive, the affliction, notably its obstetric implications, are highlighted.