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

Kimiaki Yamano Department of Infectious Diseases, Hokkaido Institute of Public Health, Sapporo Japan;

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Takuya Ito Department of Infectious Diseases, Hokkaido Institute of Public Health, Sapporo Japan;

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Kaori Kiyanagi Clinical Laboratory, Higashiasahikawa Hospital, Higashiasahikawa, Asahikawa, Japan;

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Hirotaka Yamazaki General Internal Medicine, Higashiasahikawa Hospital, Higashiasahikawa, Asahikawa, Japan;

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Mutsubu Sugawara General Internal Medicine, Higashiasahikawa Hospital, Higashiasahikawa, Asahikawa, Japan;

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Takashige Saito General Internal Medicine, Higashiasahikawa Hospital, Higashiasahikawa, Asahikawa, Japan;

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Norio Ohashi Department of Food and Nutritional Sciences, School of Food and Nutritional Sciences, University of Shizuoka, Shizuoka, Japan;

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Aya Zamoto-Niikura Division of Experimental Animal Research, National Institute of Infectious Diseases, Tokyo 208-0011, Japan;

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Kozue Sato Department of Bacteriology-I, National Institute of Infectious Diseases, Tokyo, Japan

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Hiroki Kawabata Department of Bacteriology-I, National Institute of Infectious Diseases, Tokyo, Japan

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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.

Author Notes

Address correspondence to Hiroki Kawabata, Department of Bacteriology-I, National Institute of Infectious Diseases, Tokyo 162-8640, Japan. E-mail: kbata@nih.go.jp

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.

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