Case Report: Clinical Features of a Case of Suspected Borrelia miyamotoi Disease in Hokkaido, Japan

We herein report a case of suspected Borrelia miyamotoi disease in Hokkaido, Japan. The patient complained of lassitude, arthralgia, and high fever after a tick bite. Furthermore, at the time of consultation, the patient exhibited momentary loss of consciousness and low blood pressure. Laboratory te...

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Published inThe American journal of tropical medicine and hygiene Vol. 97; no. 1; pp. 84 - 87
Main Authors Yamano, Kimiaki, Ito, Takuya, Kiyanagi, Kaori, Yamazaki, Hirotaka, Sugawara, Mutsubu, Saito, Takashige, Ohashi, Norio, Zamoto-Niikura, Aya, Sato, Kozue, Kawabata, Hiroki
Format Journal Article
LanguageEnglish
Published United States The American Society of Tropical Medicine and Hygiene 12.07.2017
Subjects
Adult
Animals
Anti-Bacterial Agents - therapeutic use
Borrelia - isolation & purification
Humans
Japan
Male
Relapsing Fever - diagnosis
Relapsing Fever - drug therapy
Tick-Borne Diseases - diagnosis
Tick-Borne Diseases - drug therapy
Treatment Outcome
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Summary:We herein report a case of suspected Borrelia miyamotoi disease in Hokkaido, Japan. The patient complained of lassitude, arthralgia, and high fever after a tick bite. Furthermore, at the time of consultation, the patient exhibited momentary loss of consciousness and low blood pressure. Laboratory tests revealed elevation of liver enzymes, thrombocytopenia, and increased C-reactive protein. Seroconversion to B. miyamotoi glycerophosphoryl diester phosphodiesterase antigen suggested the patient was infected with a relapsing fever group Borrelia species.
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Financial support: The research was supported by the Research Program on Emerging and Re-emerging Infectious Diseases from Japan Agency for Medical Research and Development (AMED).
Authors' addresses: Kimiaki Yamano, Department of Biological Science, Hokkaido Institute of Public Health, Sapporo, Japan, E-mail: yamano@iph.pref.hokkaido.jp. Takuya Ito, Department of Infectious Diseases, Hokkaido Institute of Public Health, Sapporo, Japan, E-mail: takuya@iph.pref.jokkaido.jp. Kaori Kiyanagi, Clinical Laboratory, Higashiasahikawa Hospital, Asahikawa, Japan, E-mail: labo@abox.so-net.ne.jp. Hirotaka Yamazaki, Mutsubu Sugawara, and Takashige Saito, General Internal Medicine, Higashiasahikawa Hospital, Asahikawa, Hokkaido, Japan, E-mails: hiroy123@gmail.com, gbc03625@nifty.ne.jp, and t-saito@mvb.biglobe.ne.jp. Norio Ohashi, Department of Food and Nutritional Science, School of Food and Nutritional Sciences, University of Shizuoka, Shizuoka, Japan, E-mail: ohashi@u-shizuoka-ken.ac.jp. Aya Zamoto-Niikura, Division of Experimental Animal Research, National Institute of Infectious Diseases, Tokyo, Japan, E-mail: zamoto@nih.go.jp. Kozue Sato and Hiroki Kawabata, Department of Bacteriology-I, National Institute of Infectious Diseases, Tokyo, Japan, E-mails: sokozue@nih.go.jp and kbata@nih.go.jp.
ISSN:0002-9637
1476-1645
1476-1645
DOI:10.4269/ajtmh.16-0699