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clinical features of lyme borreliosis in the middle urals and distribution of borrelia burgdorferi sensu lato species in local ixodes persulcatus ticks.from 1991 to 1993, we investigated the clinical features of lyme borreliosis (lb) in 864 patients from the sverdlovsk region (population 4.5 million) in the middle urals. ixodes persulcatus ticks were collected in the vicinity of yekaterinburg to determine the presence of borrelia burgdorferi sensu lato species. from 1991 to 1993, the number of patients with lb increased from 91 to 320 and 453, respectively. nearly all lb patients (97%) recalled a tick bite and the first signs of lb developed be ...19989728411
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