A new Borrelia on the block: Borrelia miyamotoi – a human health risk?

Article


Cutler, S., Vayssier-Taussat, Muriel, Estrada-Peña, Agustín, Potkonjak, Aleksandar, Mihalca, Andrei Daniel and Zeller, Hervé 2019. A new Borrelia on the block: Borrelia miyamotoi – a human health risk? Eurosurveillance. 24 (18), p. Art. 1800170.
AuthorsCutler, S., Vayssier-Taussat, Muriel, Estrada-Peña, Agustín, Potkonjak, Aleksandar, Mihalca, Andrei Daniel and Zeller, Hervé
Abstract

Background

Borrelia miyamotoi clusters phylogenetically among relapsing fever borreliae, but is transmitted by hard ticks. Recent recognition as a human pathogen has intensified research into its ecology and pathogenic potential.
Aims

We aimed to provide a timely critical integrative evaluation of our knowledge on B. miyamotoi, to assess its public health relevance and guide future research.
Methods

This narrative review used peer-reviewed literature in English from January 1994 to December 2018.
Results

Borrelia miyamotoi occurs in the world’s northern hemisphere where it co-circulates with B. burgdorferi sensu lato, which causes Lyme disease. The two borreliae have overlapping vertebrate and tick hosts. While ticks serve as vectors for both species, they are also reservoirs for B. miyamotoi. Three B. miyamotoi genotypes are described, but further diversity is being recognised. The lack of sufficient cultivable isolates and vertebrate models compromise investigation of human infection and its consequences. Our understanding mainly originates from limited case series. In these, human infections mostly present as influenza-like illness, with relapsing fever in sporadic cases and neurological disease reported in immunocompromised patients. Unspecific clinical presentation, also occasionally resulting from Lyme- or other co-infections, complicates diagnosis, likely contributing to under-reporting. Diagnostics mainly employ PCR and serology. Borrelia miyamotoi infections are treated with antimicrobials according to regimes used for Lyme disease.
Conclusions

With co-infection of tick-borne pathogens being commonplace, diagnostic improvements remain important. Developing in vivo models might allow more insight into human pathogenesis. Continued ecological and human case studies are key to better epidemiological understanding, guiding intervention strategies.

JournalEurosurveillance
Journal citation24 (18), p. Art. 1800170
ISSN1560-7917
Year2019
PublisherEuropean Centre for Disease Prevention and Control
Publisher's version
License
Digital Object Identifier (DOI)doi:10.2807/1560-7917.ES.2019.24.18.1800170
Web address (URL)https://doi.org/10.2807/1560-7917.ES.2019.24.18.1800170
Publication dates
Print02 May 2019
Publication process dates
Deposited08 May 2019
Accepted11 Mar 2019
Accepted11 Mar 2019
FunderEuropean Centre for Disease Prevention and Control
Copyright information© 2019 The authors
LicenseCC BY 4.0
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