2022
DOI: 10.1016/s2666-5247(22)00157-4
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Prevalence and clinical manifestation of Borrelia miyamotoi in Ixodes ticks and humans in the northern hemisphere: a systematic review and meta-analysis

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Cited by 22 publications
(39 citation statements)
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“… Borrelia miyamotoi is an emerging tick-borne pathogen of the relapsing fever Borrelia (RFB) group and shares its Ixodes vector with other tick-borne pathogens, including Borrelia burgdorferi sensu lato , tick-borne encephalitis virus, Anaplasma phagocytophilum , and Ehrlichia and Babesia species ( 1 6 ). The B. miyamotoi infection rate ranges from 0.7 to 2.8% in the main questing vectors Ixodes scapularis , I. pacificus , I. ricinus , and I. persulcatus ( 7 9 ). B. miyamotoi causes an acute febrile illness and flu-like symptoms in immunocompetent patients, referred to as Borrelia miyamotoi disease (BMD), and a meningoencephalitis in immunocompromised individuals ( 10 14 ).…”
Section: Introductionmentioning
confidence: 99%
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“… Borrelia miyamotoi is an emerging tick-borne pathogen of the relapsing fever Borrelia (RFB) group and shares its Ixodes vector with other tick-borne pathogens, including Borrelia burgdorferi sensu lato , tick-borne encephalitis virus, Anaplasma phagocytophilum , and Ehrlichia and Babesia species ( 1 6 ). The B. miyamotoi infection rate ranges from 0.7 to 2.8% in the main questing vectors Ixodes scapularis , I. pacificus , I. ricinus , and I. persulcatus ( 7 9 ). B. miyamotoi causes an acute febrile illness and flu-like symptoms in immunocompetent patients, referred to as Borrelia miyamotoi disease (BMD), and a meningoencephalitis in immunocompromised individuals ( 10 14 ).…”
Section: Introductionmentioning
confidence: 99%
“… B. miyamotoi causes an acute febrile illness and flu-like symptoms in immunocompetent patients, referred to as Borrelia miyamotoi disease (BMD), and a meningoencephalitis in immunocompromised individuals ( 10 14 ). To date, hundreds of well-described disease cases have been published in Asia, North America, and Europe ( 9 ). Nevertheless, the burden of infection and disease remains unknown, due to low awareness among the general public and physicians, a noncharacteristic and possibly self-limiting clinical presentation, and, importantly, limited diagnostic tools ( 10 ).…”
Section: Introductionmentioning
confidence: 99%
“…Microscopy can confirm infection with a Borrelia species, however it cannot be used to distinguish between species and has low sensitivity [30]. In order to see spirochetes in a blood smear or CSF sample, the density needs to be greater than 10 4 cells/mL [11,27]. During the acute phase of BMD, usually within a few days of symptom onset, spirochete density in the blood ranges from 10 1 -10 5 cells/mL [31].…”
Section: Microscopymentioning
confidence: 99%
“…Though ampicillin, azithromycin, and vancomycin, or a combination thereof, have been used to treat BMD. Antibiotic treatment engenders a full recovery with rare cases of persistent fatigue [21,27]. A systematic review and meta-analysis by Hoornstra et al affirmed that doxycycline is the preferred treatment for adults presenting with no neurological complications, and ceftriaxone is the preferred treatment for adults with BMD-associated meningoencephalitis [27].…”
Section: Introductionmentioning
confidence: 99%
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