Presence of Borrelia miyamotoi infection in a highly endemic area of Lyme disease
Autor: | Eric D. Spitzer, Luis A. Marcos, Fredric Weinbaum, Kalie Smith, Kelsey Reardon |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Male
lcsh:QR1-502 Disease lcsh:Microbiology 0302 clinical medicine Lyme disease Medical microbiology Epidemiology Medicine 030212 general & internal medicine Aged 80 and over 0303 health sciences Tick-borne disease biology Coinfection General Medicine Middle Aged Antibodies Bacterial Recombinant Proteins LYME Infectious Diseases Tick-Borne Diseases Female Borrelia Infections Adult Microbiology (medical) medicine.medical_specialty Tick borne diseases Short Report New York Borrelia miyamotoi Tick lcsh:Infectious and parasitic diseases Young Adult 03 medical and health sciences Animals Humans lcsh:RC109-216 Aged Retrospective Studies 030304 developmental biology Ixodes business.industry Borrelia lcsh:RM1-950 medicine.disease biology.organism_classification Virology lcsh:Therapeutics. Pharmacology Immunoglobulin M Immunoglobulin G business |
Zdroj: | Annals of Clinical Microbiology and Antimicrobials, Vol 19, Iss 1, Pp 1-4 (2020) Annals of Clinical Microbiology and Antimicrobials |
ISSN: | 1476-0711 |
Popis: | A series of cases in the Northeast of the US during 2013–2015 described a new Borrelia species, Borrelia miyamotoi, which is transmitted by the same tick species that transmits Lyme disease and causes a relapsing fever-like illness. The geographic expansion of B. miyamotoi in the US also extends to other Lyme endemic areas such as the Midwestern US. Co-infections with other tick borne diseases (TBD) may contribute to the severity of the disease. On Long Island, NY, 3–5% of ticks are infected by B. miyamotoi, but little is known about the frequency of B. miyamotoi infections in humans in this particular region. The aim of this study was to perform a chart review in all patients diagnosed with B. miyamotoi infection in Stony Brook Medicine (SBM) system to describe the clinical and epidemiological features of B. miyamotoi infection in Suffolk County, NY. In a 5 year time period (2013–2017), a total of 28 cases were positive for either IgG EIA (n = 19) or PCR (n = 9). All 9 PCR-positive cases (median age: 67; range: 22–90 years) had clinical findings suggestive of acute or relapsing infection. All these patients were thought to have a TBD, prompting the healthcare provider to order the TBD panel which includes a B. miyamotoi PCR test. In conclusion, B. miyamotoi infection should be considered in the differential diagnosis for flu-like syndromes during the summer after a deer tick bite and to prevent labeling a case with Lyme disease. |
Databáze: | OpenAIRE |
Externí odkaz: |