| the first case of imported borrelia miyamotoi disease concurrent with lyme disease. | borrelia miyamotoi disease (bmd) is an emerging infectious disease caused by b. miyamotoi. although bmd has been reported in the united states, europe, and japan, no case of imported bmd has been described in the world. here, we report a 63-year-old american man living in japan who presented with malaise, headache, myalgia, and arthralgia. we suspected lyme disease because of his travel history to minnesota and presence of erythema migrans. serologic analysis supported our diagnosis, and doxycyc ... | 2017 | 28162921 |