Characteristics of Hard Tick Relapsing Fever Caused by Borrelia miyamotoi, United 2013-2019

被引:9
作者
Mccormick, David W. [1 ]
Brown, Catherine M. [2 ]
Bjork, Jenna [3 ]
Cervantes, Kim [4 ]
Esponda-Morrison, Brenda [5 ]
Garrett, Jason [6 ]
Kwit, Natalie [7 ]
Mathewson, Abigail [8 ]
Mcginnis, Charles [6 ]
Notarangelo, Marco [8 ]
Osborn, Rebecca [9 ]
Schiffman, Elizabeth [3 ]
Sohail, Haris [10 ]
Schwartz, Amy M. [1 ]
Hinckley, Alison F. [1 ]
Kugeler, Kiersten J. [1 ,11 ]
机构
[1] CDCP, Ft Collins, CO USA
[2] Massachusetts Dept Publ Hlth, Boston, MA USA
[3] Minnesota Dept Hlth, Minneapolis, MN USA
[4] New Jersey Dept Hlth, Trenton, NJ USA
[5] Connecticut Dept Publ Hlth, Hartford, CT USA
[6] Rhode Isl Dept Hlth, Providence, RI USA
[7] Vermont Dept Hlth Burlington, Vermont, IL USA
[8] New Hampshire Dept Hlth & Human Serv, Concord, NH USA
[9] Wisconsin Dept Hlth Serv, Madison, WI USA
[10] Marine Ctr Dis Control & Prevent, Augusta, ME USA
[11] CDCP, 3156 Rampart Rd,Mailstop P02, Ft Collins, CO 80521 USA
基金
英国科研创新办公室;
关键词
LYME-DISEASE; GROUP SPIROCHETE; STATES; BURGDORFERI; MENINGOENCEPHALITIS; ANAPLASMOSIS; SURVEILLANCE; TRANSFUSION; VECTOR;
D O I
10.3201/eid2909.221912
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Borrelia miyamotoi , transmitted by Ixodes spp. ticks, was recognized as an agent of hard tick relapsing fever in the United States in 2013. Nine state health departments in the Northeast and Midwest have conducted public health surveillance for this emerging condition by using a shared, working surveillance case definition. During 2013-2019, a total of 300 cases were identified through surveillance; 166 (55%) were classified as confirmed and 134 (45%) as possible. Median age of case-patients was 52 years (range 1-86 years); 52% were male. Most cases (70%) occurred during June- September, with a peak in August. Fever and headache were common symptoms; 28% of case-patients reported recurring fevers, 55% had arthralgia, and 16% had a rash. Thirteen percent of patients were hospitalized, and no deaths were reported. Ongoing surveillance will improve understanding of the incidence and clinical severity of this emerging disease.
引用
收藏
页码:1719 / 1729
页数:11
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