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First report of Borrelia miyamotoi in an Ixodes ricinus tick in Augsburg, Germany
Sharon Page1, Christina Daschkin2, Sirli Anniko2
1BCA-Research, BCA-Clinic, Morellstraße 33, 86159, Augsburg, Germany. forschung@bca-lab.de.
Abstract:
Borrelia miyamotoi, a spirochete found in the hard tick Ixodes ricinus, is thought to cause relapsing fever. The disease caused by this bacterium can manifest with high fever, fatigue and other symptoms. It may also lead to central nervous system involvement with symptoms similar to meningoencephalitis. DNA from ticks from the greater Augsburg region in Germany was subjected to qPCR for Borrelia spp., followed by nested PCR and subsequent sequencing for species identification of the qPCR positive samples. From 112 ticks, 20 were found to be positive for Borrelia. The DNA sequenced showed 50% Borrelia afzelli, 15% Borrelia garinii, 5% Borrelia valaisiana and one sequence was identified as Borrelia miyamotoi. The positive identification of Borrelia miyamotoi is unlikely to be due to contamination. In conclusion, Borrelia miyamotoi has been found in a tick in the Augsburg region for the first time. This follows on from previous reports of a low incidence of this bacterium in southern Germany around Lake Constance and in the Munich region. This infectious agent should be taken into account when patients present with recurring fever or neurological symptoms which cannot be otherwise explained. Tick-borne relapsing fever should now be considered as a cause of such symptoms and medical professionals should contemplate differential Borrelia testing when presented with corresponding symptoms.
Insights
Borrelia miyamotoi, a relapsing fever agent, was detected in a tick in Augsburg, Germany. This finding highlights the need to consider tick-borne relapsing fever in unexplained fevers and neurological symptoms.
Area of Science:
- Medical Entomology
- Bacteriology
- Infectious Diseases
Background:
- Borrelia miyamotoi is a spirochete transmitted by Ixodes ticks, potentially causing relapsing fever and neurological symptoms.
- Previous reports indicate a low incidence of Borrelia miyamotoi in southern Germany.
Purpose of the Study:
- To investigate the presence of Borrelia species, including Borrelia miyamotoi, in ticks from the Augsburg region, Germany.
- To assess the potential for Borrelia miyamotoi as a cause of unexplained febrile and neurological illnesses.
Main Methods:
- Ticks collected from the Augsburg region underwent quantitative PCR (qPCR) for Borrelia spp.
- Positive samples were further analyzed using nested PCR and DNA sequencing for species identification.
Main Results:
- Of 112 ticks, 20 tested positive for Borrelia.
- Sequencing identified Borrelia afzelli (50%), Borrelia garinii (15%), Borrelia valaisiana (5%), and one instance of Borrelia miyamotoi.
- The identification of Borrelia miyamotoi was confirmed and not attributed to contamination.
Conclusions:
- Borrelia miyamotoi has been identified for the first time in ticks from the Augsburg region.
- Medical professionals should consider tick-borne relapsing fever and conduct differential Borrelia testing for patients with unexplained recurring fever or neurological symptoms.
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