Borrelia miyamotoi Disease Neither Lyme Disease Nor Relapsing Fever

作者：Telford Sam R III^*; Goethert Heidi K; Molloy Philip J; Berardi Victor P; Chowdri Hanumara Ram; Gugliotta Joseph L; Lepore Timothy J

来源：Clinics in Laboratory Medicine, 2015, 35(4): 867-+.

DOI：10.1016/j.cll.2015.08.002

• Borrelia miyamotoi
• Lyme disease
• Deer ticks
• Borreliosis
• Zoonotic infection

Borrelia miyamotoi disease (BMD) is a newly recognized borreliosis globally transmitted by ticks of the lxodes 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.

• 出版日期2015-12