“…Lyme disease is the most prevalent vector‐borne infectious disease in North America, and infection with the causative bacterial spirochete, Borrelia burgdorferi , can result in debilitating clinical manifestations in humans including arthritis and carditis (Bratton, Whiteside, Hovan, Engle, & Edwards, ; Steere et al, ; Steere & Glickstein, ; Steere, Schoen, & Taylor, ). B. burgdorferi is capable of persisting in an infected mammalian host in the presence of adaptive immune responses through both alterations in the antigenic profile of the bacterium (Liang et al, , Liang, Nelson, & Fikrig, , Liang, Nelson, & Fikrig, , Samuels, , Singh & Girschick, ) and by modulation of the host's antibody responses (Elsner, Hastey, & Baumgarth, ; Hastey, Elsner, Barthold, & Baumgarth, ; Tunev et al, ). The presence of live spirochetes in heart and synovial joints is associated with subacute inflammation in C3H mice that exhibits parallels with inflammatory disease seen in humans.…”