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Editorials |21 July 2015

Borrelia miyamotoi: The Newest Infection Brought to Us by Deer Ticks

Peter J. Krause, MD; Alan G. Barbour, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
This article was published online first at www.annals.org on 9 June 2015.
  • From Yale School of Public Health and Yale School of Medicine, New Haven, Connecticut, and University of California, Irvine, Irvine, California.

    Note: Drs. Krause and Barbour contributed equally to this article.

    Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M15-1219.

    Requests for Single Reprints: Peter J. Krause, MD, Yale School of Public Health, 60 College Street, New Haven, CT 06520.

    Current Author Addresses: Dr. Krause: Yale School of Public Health, 60 College Street, New Haven, CT 06520.

    Dr. Barbour: Department of Microbiology & Molecular Genetics, University of California, Irvine, 3012 Hewitt, Mail Code 4028, Irvine, CA 92697.

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It's not just Lyme disease anymore. Residents and visitors in many parts of the northeastern, north-central, and far western United States have more than one reason to avoid bites from hard-bodied (ixodid) ticks. The latest addition to the list of infections transmitted to humans by the same ixodid ticks that are vectors of Lyme disease is Borrelia miyamotoi. Although B. miyamotoi is in the same genus as B. burgdorferi, it is more closely related to species that cause relapsing fever than to Lyme disease agents (1). Discovered in Ixodes persulcatus ticks in Japan in 1994 and subsequently documented in ticks and rodents in North America and Europe, B. miyamotoi was not recognized as a human pathogen until a report from Russia in 2011 (2). It has since been reported in patients in the United States, Europe, and Japan (3–8). In this issue, Molloy and colleagues report the first large case series in the United States and provide important new information about the epidemiology and clinical presentation of human disease caused by this pathogen (8).
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Krause PJ, Barbour AG. Borrelia miyamotoi: The Newest Infection Brought to Us by Deer Ticks. Ann Intern Med. 2015;163:141–142. doi: 10.7326/M15-1219

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Published: Ann Intern Med. 2015;163(2):141-142.

DOI: 10.7326/M15-1219

9 Citations

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