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Tick Microbiome Characterization by Next-Generation 16S rRNA Amplicon Sequencing
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One man, three tick-borne illnesses.

Leah Grant1, Imran Mohamedy2, Laura Loertscher2

  • 1Department of Internal Medicine, Providence Health and Services Oregon and Southwest Washington, Portland, Oregon, USA leahmgrant1@gmail.com.

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|April 17, 2021
PubMed
Summary
This summary is machine-generated.

A rare case of a 70-year-old man diagnosed with Lyme disease, babesiosis, and anaplasmosis, all tick-borne illnesses, highlights the importance of considering co-infections in patients with relevant travel history.

Keywords:
disease and health outcomesdrugs: infectious diseasesinfectious diseasesmedical management

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Area of Science:

  • Infectious Diseases
  • Tick-Borne Illnesses
  • Public Health

Background:

  • Tick-borne diseases pose a significant public health challenge, particularly in endemic regions.
  • Co-infections with multiple tick-borne pathogens can complicate diagnosis and treatment.
  • Early recognition and appropriate management are crucial for patient outcomes.

Observation:

  • A 70-year-old male presented with fever, edema, nausea, and leg pain after a presumed insect bite.
  • Laboratory findings included anemia, thrombocytopenia, acute kidney injury, and elevated liver enzymes.
  • Travel history to the Northeastern United States prompted suspicion of tick-borne illnesses.

Findings:

  • Serological tests confirmed co-infection with *Borrelia burgdorferi* (Lyme disease), *Anaplasma phagocytophilum* (anaplasmosis), and *Babesia microti* (babesiosis).
  • The patient received a combination therapy of doxycycline, atovaquone, and azithromycin.
  • Treatment resulted in the complete resolution of his symptoms.

Implications:

  • This case underscores the possibility of simultaneous infection with three distinct tick-borne diseases.
  • Clinicians should maintain a high index of suspicion for co-infections in patients presenting with symptoms consistent with tick-borne illnesses, especially after travel to affected areas.
  • Prompt and comprehensive treatment can lead to favorable outcomes even in complex co-infection scenarios.