1. Borrelia miyamotoi Disease: Neither Lyme Disease Nor Relapsing Fever.
- Author
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Telford SR 3rd, Goethert HK, Molloy PJ, Berardi VP, Chowdri HR, Gugliotta JL, and Lepore TJ
- Subjects
- Aged, Borrelia Infections drug therapy, Borrelia Infections epidemiology, Borrelia Infections transmission, Female, Humans, Middle Aged, Polymerase Chain Reaction, Borrelia Infections diagnosis
- Abstract
Borrelia miyamotoi disease (BMD) is a newly recognized borreliosis globally transmitted by ticks of the Ixodes persulcatus species complex. Once considered to be a tick symbiont with no public health implications, B miyamotoi is increasingly recognized as the agent of a nonspecific febrile illness often misdiagnosed as acute Lyme disease without rash, or as ehrlichiosis. The frequency of its diagnosis in the northeastern United States is similar to that of human granulocytic ehrlichiosis. A diagnosis of BMD is confirmed by polymerase chain reaction analysis of acute blood samples, or by seroconversion using a recombinant glycerophosphodiester phosphodiesterase enzyme immunoassay. BMD is successfully treated with oral doxycycline or amoxicillin., (Copyright © 2015 Elsevier Inc. All rights reserved.)
- Published
- 2015
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