Humans Infected with Relapsing Fever Spirochete Borrelia miyamotoi, Russia
Humans Infected with Relapsing Fever Spirochete Borrelia miyamotoi, Russia
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DOI：
10.3201/eid1710.101474
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发表时间：
2011-10-01
影响因子：
11.8
通讯作者：
Krause, Peter J.
中科院分区：
文献类型：
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作者：
Platonov, Alexander E.;Karan, Ludmila S.;Krause, Peter J.
宫本疏螺旋体与B有远亲关系。burgdorferi并通过相同的硬体蜱物种传播。我们报告46例B型。miyamotoi感染的人，并比较这种感染的频率和临床表现与那些由B。garinii和B.伯氏感染所有46例患者均居住在俄罗斯，患有流感样疾病，发热高达39.5 ℃; 5例（11%）发生复发性发热疾病，4例（9%）发生游走性红斑。在俄罗斯，B.全沟硬蜱感染率为1%~ 16%，与全沟硬蜱感染率相近。西欧和I的蓖麻蜱。肩胛蜱在美国。B。在全世界的泛北极地区，miyamotoi感染可能引起回归热和莱姆病样症状，因为这种病原体在其硬蜱媒介中广泛流行。
Borrelia miyamotoi is distantly related to B. burgdorferi and transmitted by the same hard-body tick species. We report 46 cases of B. miyamotoi infection in humans and compare the frequency and clinical manifestations of this infection with those caused by B. garinii and B. burgdorferi infection. All 46 patients lived in Russia and had influenza-like illness with fever as high as 39.5 degrees C; relapsing febrile illness occurred in 5 (11%) and erythema migrans in 4 (9%). In Russia, the rate of B. miyamotoi infection in Ixodes persulcatus ticks was 1%-16%, similar to rates in I. ricinus ticks in western Europe and I. scapularis ticks in the United States. B. miyamotoi infection may cause relapsing fever and Lyme disease like symptoms throughout the Holarctic region of the world because of the widespread prevalence of this pathogen in its ixodid tick vectors.