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Southern Tick-Associated Rash Illness in Pediatric Patient, New York, USA, 2025
Emerging Infectious Diseases
|July 24, 2026
Summary
Southern tick-associated rash illness (STARI) is a tickborne disease. A child in New York developed STARI after an Amblyomma americanum tick bite, and Borrelia lonestari was detected in the tick.
Area of Science:
- * Infectious Diseases
- * Dermatology
- * Tick-borne Illnesses
Background:
- * Southern tick-associated rash illness (STARI) presents as an erythema migrans-like rash.
- * The etiology of STARI remains largely unknown.
- * Amblyomma americanum ticks are implicated vectors in STARI pathogenesis.
Purpose of the Study:
- * To report a case of STARI in New York.
- * To investigate the potential role of Borrelia lonestari in STARI.
- * To document the detection of Borrelia lonestari in an Amblyomma americanum tick from a STARI patient.
Main Methods:
- * Clinical case reporting of a pediatric STARI patient.
- * Tick identification and pathogen detection.
- * Molecular analysis for Borrelia species identification.
Main Results:
- * A child in New York presented with STARI following an Amblyomma americanum tick bite.
- * Borrelia lonestari DNA was successfully detected in the implicated tick.
- * This finding supports the investigation of Borrelia lonestari as a potential cause of STARI.
Conclusions:
- * This case highlights the presence of Borrelia lonestari in ticks associated with STARI in New York.
- * Further research is warranted to confirm Borrelia lonestari as a causative agent of STARI.
- * Early diagnosis and management of STARI are crucial for patient outcomes.
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