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Am. J. Trop. Med. Hyg., 77(6), 2007, pp. 1124-1127
Copyright © 2007 by The American Society of Tropical Medicine and Hygiene

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CASE REPORT


Borrelia valaisiana Infection in a Japanese Man Associated with Traveling to Foreign Countries

Kan Saito, Takafumi Ito, Nobuko Asashima, Minoru Ohno, Ryozo Nagai, Hiromi Fujita, Nobuo Koizumi, Ai Takano, Haruo Watanabe, AND Hiroki Kawabata*
Department of Cardiovascular Medicine, and Department of Dermatology, University of Tokyo Graduate School of Medicine, Tokyo, Japan; Ohara Research Laboratory, Ohara General Hospital, Fukushima, Japan; Department of Bacteriology, National Institute of Infectious Diseases, Tokyo, Japan; Doctoral Course of the United Graduate School of Veterinary Sciences, Gifu University, National University Corporation, Gifu, Japan

 

ABSTRACT

A 78-year-old Japanese man who had clinical symptoms and a flu-like illness with fever, chills, diarrhea, and arthralgia had traveled to Cambodia and Khabarovsk, Russia, before the onset of symptoms and illness. He had been bitten by an Ixodes persulcatus tick in which the DNA of Borrelia valaisiana was detected. The patient’s symptoms improved rapidly after treatment with minocycline. Serologic examination detected antibodies to Lyme disease Borrelia. An flaB polymerase chain reaction with the patient’s plasma amplified a DNA fragment similar to that of B. valaisiana.

Received May 8, 2006. Accepted for publication July 19, 2007.

Acknowledgments: We thank Toshiyuki Masuzawa (Chiba Institute of Sciences) and Noburiro Takada (Fukui University) for helpful discussions.

Financial support: This work was supported in part by a grant for research on emerging and reemerging infectious diseases from the Japanese Ministry of Health, Labor and Welfare.

* Address correspondence to Hiroki Kawabata, Department of Bacteriology, National Institute of Infectious Diseases, Toyama 1-23-1, Shinjuku, Tokyo 162-8640, Japan. E-mail: kbata{at}nih.go.jp

Authors’ addresses: Kan Saito, Takafumi Ito, Minoru Ohno, and Ryozo Nagai, Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Hongo 7-3-1, Bunkyo-ku, Tokyo 113-8655, Japan. Nobuko Asashima, Department of Dermatology, University of Tokyo Graduate School of Medicine, Hongo 7-3-1, Bunkyo-ku, 113-8655 Tokyo, Japan. Hiromi Fujita, Ohara Research Laboratory, Ohara General Hospital, Kamata-Nakae 33, Fukushima, Fukushima 960-0195 Japan. Nobuo Koizumi and Hiroki Kawabata, Department of Bacteriology, National Institute of Infectious Diseases, Toyama 1-23-1, Shinjuku-ku, Tokyo 162-8640, Japan. Ai Takano and Haruo Watanabe, Department of Bacteriology, National Institute of Infectious Diseases, Toyama 1-23-1, Shinjuku-ku, Tokyo 162-8640, Japan and Doctoral Course of the United Graduate School of Veterinary Sciences, Yanagido 1-1, Gifu University, National University Corporation, Gifu 501-1193, Japan.






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