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Cultivation Methods of Spirochetes from Borrelia burgdorferi Sensu Lato Complex and Relapsing Fever Borrelia
Published on: November 25, 2022
Humans infected with relapsing fever spirochete Borrelia miyamotoi, Russia
Alexander E Platonov1, Ludmila S Karan, Nadezhda M Kolyasnikova
1Central Research Institute of Epidemiology, Moscow, Russia.
Abstract:
Borrelia miyamotoi is distantly related to B. burgdorferi and transmitted by the same hard-body tick species. We report 46 cases of B. miyamotoi infection in humans and compare the frequency and clinical manifestations of this infection with those caused by B. garinii and B. burgdorferi infection. All 46 patients lived in Russia and had influenza-like illness with fever as high as 39.5°C; relapsing febrile illness occurred in 5 (11%) and erythema migrans in 4 (9%). In Russia, the rate of B. miyamotoi infection in Ixodes persulcatus ticks was 1%-16%, similar to rates in I. ricinus ticks in western Europe and I. scapularis ticks in the United States. B. miyamotoi infection may cause relapsing fever and Lyme disease-like symptoms throughout the Holarctic region of the world because of the widespread prevalence of this pathogen in its ixodid tick vectors.
Insights
Borrelia miyamotoi causes influenza-like illness and sometimes relapsing fever or Lyme disease symptoms. This tick-borne pathogen is prevalent in Russia and potentially worldwide.
Area of Science:
- Medical Entomology
- Infectious Diseases
- Bacteriology
Background:
- Borrelia miyamotoi, a distant relative of Borrelia burgdorferi, is transmitted by hard-bodied ticks.
- Understanding the prevalence and clinical impact of B. miyamotoi is crucial for public health.
Purpose of the Study:
- To report cases of B. miyamotoi infection in humans.
- To compare B. miyamotoi infections with those caused by B. garinii and B. burgdorferi.
Main Methods:
- Retrospective case analysis of 46 human infections.
- Comparison of clinical manifestations and epidemiological data.
Main Results:
- 46 patients in Russia presented with influenza-like illness, high fever (up to 39.5°C).
- Relapsing febrile illness occurred in 11% and erythema migrans in 9% of cases.
- B. miyamotoi infection rates in Ixodes persulcatus ticks ranged from 1% to 16%.
Conclusions:
- B. miyamotoi infection can cause relapsing fever and Lyme disease-like symptoms.
- Widespread prevalence in tick vectors suggests potential Holarctic distribution of B. miyamotoi.
- Further research is needed to understand the full clinical spectrum and geographic range.
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