2013
DOI: 10.7326/0003-4819-159-1-201307020-00005
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Borrelia miyamotoiInfection Presenting as Human Granulocytic Anaplasmosis

Abstract: The presence of B. miyamotoi DNA in the peripheral blood and the patients' eventual therapeutic response to doxycycline are consistent with the hypothesis that their illness was due to this newly recognized spirochete. Samples from tick-exposed patients acutely presenting with signs of HGA but who have a delayed response to doxycycline therapy or negative confirmatory test results for HGA should be analyzed carefully for evidence of B. miyamotoi infection.

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Cited by 120 publications
(85 citation statements)
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“…In North America, meningoencephalitis was recently described in an elderly immunocompromised patient and from results of a serosurvey of patients from southern New England and New York, B. miyamotoi infection can cause a viral-like illness (Krause et al 2013). These studies support the contention that B. miyamotoi is yet another of the guild of pathogens, which includes the agents of Lyme disease, anaplasmosis, babesiosis, Powassan virus, and the Ehrlichia muris-like agent, associated with blacklegged ticks in North America (Chowdri et al 2013). The discovery of DNA of B. miyamotoi in ticks during a study of B. burgdorferi diversity signaled the possible occurrence of B. miyamotoi in Canada (Ogden et al 2011).…”
Section: Potential Tick-borne Bacterial Pathogenssupporting
confidence: 72%
“…In North America, meningoencephalitis was recently described in an elderly immunocompromised patient and from results of a serosurvey of patients from southern New England and New York, B. miyamotoi infection can cause a viral-like illness (Krause et al 2013). These studies support the contention that B. miyamotoi is yet another of the guild of pathogens, which includes the agents of Lyme disease, anaplasmosis, babesiosis, Powassan virus, and the Ehrlichia muris-like agent, associated with blacklegged ticks in North America (Chowdri et al 2013). The discovery of DNA of B. miyamotoi in ticks during a study of B. burgdorferi diversity signaled the possible occurrence of B. miyamotoi in Canada (Ogden et al 2011).…”
Section: Potential Tick-borne Bacterial Pathogenssupporting
confidence: 72%
“…Ezért magyarországi előfordulásával is számolni kell. Egyelőre sokkal több országban találtak a kullancsokban B. miyamotoi-t, mint amennyiben humán megbetegedést észleltek (1. és 3. táblázat [34][35][36][37][38][39][40]). Ez érthető, hiszen mind a klinikai, mind a laboratóriumi diagnózis nehézkes.…”
Section: Klinikum éS Epidemiológiaunclassified
“…This Borrelia species was first isolated from Japanese Ixodes ticks in 1995 whereby it was considered a nonpathogenic endogenous tick bacterium until the first human cases of B. miyamotoi infection were reported in Russia some 16 years later [2]. Subsequently, human infections have been described in the USA and most recently in The Netherlands [3][4][5]28]. Circulation of B. miyamotoi between I. ricinus and wild animals has been confirmed in other European countries such as France, Estonia, Poland and Switzerland [29], which has confirmed that the French genotype is identical to an isolate from a Dutch patient [30].…”
Section: Introductionmentioning
confidence: 99%
“…In Europe, the most prevalent tick-borne disease in humans is Lyme borreliosis (LB), caused by a group of bacteria belonging to the Borrelia burgdorferi sensu Iato group with at least five different species infecting humans in Europe [1]. Recently, B. miyamotoi, belonging to the more distantly related relapsing fever group, has been detected in patients in USA, Japan, Russia and The Netherlands [2][3][4][5], and is transmitted by the tick species involved in LB. Ticks can also be infected with other pathogens that might be transmitted to humans [6] (see Table 1).…”
mentioning
confidence: 99%