When to Think About Other Borreliae:: Hard Tick Relapsing Fever (Borrelia miyamotoi), Borrelia mayonii, and Beyond

Infect Dis Clin North Am. 2022 Sep;36(3):689-701. doi: 10.1016/j.idc.2022.04.002.

Abstract

In North America, several hard tick-transmitted Borrelia species other than Borrelia burgdorferi cause human disease, including Borrelia miyamotoi, Borrelia mayonii, and possibly Borrelia bissettii. Due to overlapping clinical syndromes, nonspecific tickborne disease (TBD) testing strategies, and shared treatment approaches, infections with these lesser known Borrelia are likely under-reported. In this article, we describe the epidemiology, clinical manifestations, diagnosis, and treatment of these less common Borrelia pathogens.

Keywords: Lyme disease; Relapsing fever; Tickborne.

Publication types

  • Review

MeSH terms

  • Animals
  • Borrelia*
  • Humans
  • Ixodidae*
  • Relapsing Fever* / diagnosis
  • Relapsing Fever* / drug therapy
  • Relapsing Fever* / epidemiology
  • Spirochaetales

Supplementary concepts

  • Borrelia mayonii
  • Borrelia miyamotoi