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
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