NYMC Faculty Publications

Borrelia Miyamotoi Sensu Lato Seroreactivity and Seroprevalence in the Northeastern United States

Author Type(s)

Faculty

DOI

10.3201/eid2007.131587

Journal Title

Emerging Infectious Diseases

First Page

1183

Last Page

1190

Document Type

Article

Publication Date

7-1-2014

Department

Pathology, Microbiology and Immunology

Second Department

Pharmacology

Keywords

Antibodies, Bacterial, Borrelia, Borrelia Infections, Female, Humans, Immunoglobulin G, Lyme Disease, Male, Middle Aged, New England, Seroepidemiologic Studies

Disciplines

Medicine and Health Sciences

Abstract

Borrelia miyamotoi sensu lato, a relapsing fever Borrelia sp., is transmitted by the same ticks that transmit B. burgdorferi (the Lyme disease pathogen) and occurs in all Lyme disease-endemic areas of the United States. To determine the seroprevalence of IgG against B. miyamotoi sensu lato in the northeastern United States and assess whether serum from B. miyamotoi sensu lato-infected persons is reactive to B. burgdorferi antigens, we tested archived serum samples from area residents during 1991-2012. Of 639 samples from healthy persons, 25 were positive for B. miyamotoi sensu lato and 60 for B. burgdorferi. Samples from ≈10% of B. miyamotoi sensu lato-seropositive persons without a recent history of Lyme disease were seropositive for B. burgdorferi. Our results suggest that human B. miyamotoi sensu lato infection may be common in southern New England and that B. burgdorferi antibody testing is not an effective surrogate for detecting B. miyamotoi sensu lato infection.

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