Publications

TitleAbstractYear
Filter
PMID(sorted descending)
Filter
notes from the field: heartland virus disease - united states, 2012-2013.heartland virus is a newly identified phlebovirus that was first isolated from two northwestern missouri farmers hospitalized with fever, leukopenia, and thrombocytopenia in 2009. based on the patients' clinical findings and their reported exposures, the virus was suspected to be transmitted by ticks. after this discovery, cdc worked with state and local partners to define the ecology and modes of transmission of heartland virus, develop diagnostic assays, and identify additional cases to descri ...201424670929
efficacy of chemical repellents against otobius megnini (acari: argasidae) and three species of ixodid ticks.otobius megnini (dugès), often referred to as the ear tick or spinose ear tick, is a one-host tick native to the southwestern united states and mexico. infestations of this species can cause severe irritation and may affect breeding behavior in the host. although chemical repellents are commonly used as an alternative approach to conventional arthropod vector control, information on repellency against o. megnini is lacking. this study compared repellency of ammonia, bioud(®), 98.25% deet, garlic ...201424659519
massive infection of seabird ticks with bacterial species related to coxiella burnetii.seabird ticks are known reservoirs of bacterial pathogens of medical importance; however, ticks parasitizing tropical seabirds have received less attention than their counterparts from temperate and subpolar regions. recently, rickettsia africae was described to infect seabird ticks of the western indian ocean and new caledonia, constituting the only available data on bacterial pathogens associated with tropical seabird tick species. here, we combined a pyrosequencing-based approach with a class ...201424657860
gene cloning, expression and immunogenicity of the protective antigen subolesin in dermacentor silvarum.subolesin (4d8), the ortholog of insect akirins, is a highly conserved protective antigen and thus has the potential for development of a broad-spectrum vaccine against ticks and mosquitoes. to date, no protective antigens have been characterized nor tested as candidate vaccines against dermacentor silvarum bites and transmission of associated pathogens. in this study, we cloned the open reading frame (orf) of d. silvarum 4d8 cdna (ds4d8), which consisted of 498 bp encoding 165 amino acid residu ...201424623890
emerging phleboviruses.the bunyavidae family is the largest grouping of rna viruses and arguably the most diverse. bunyaviruses have a truly global distribution and can infect vertebrates, invertebrates and plants. the majority of bunyaviruses are vectored by arthropods and thus have the remarkable capability to replicate in hosts of disparate phylogeny. the family has provided many examples of emerging viruses including sin nombre and related viruses responsible for hantavirus cardiopulmonary syndrome in the americas ...201424607799
detection of lyme borrelia in questing ixodes scapularis (acari: ixodidae) and small mammals in louisiana.lyme borreliosis is caused by spirochetes from the borrelia burgdorferi sensu lato species complex. in the united states, b. burgdorferi sensu stricto (s.s.; johnson, schmid, hyde, steigerwalt, and brenner) is the most common cause of human lyme borreliosis. with >25,000 cases reported annually, it is the most common vector-borne disease in the united states. although approximately 90% of cases are contained to the northeastern and great lake states, areas in canada and some southern states are ...201424605479
an insight into the microbiome of the amblyomma maculatum (acari: ixodidae).the aim of this study was to survey the bacterial diversity of amblyomma maculatum koch, 1844, and characterize its infection with rickettsia parkeri. pyrosequencing of the bacterial 16s rrna was used to determine the total bacterial population in a. maculatum. pyrosequencing analysis identified rickettsia in a. maculatum midguts, salivary glands, and saliva, which indicates successful trafficking in the arthropod vector. the identity of rickettsia spp. was determined based on sequencing the ric ...024605461
what's eating you? turkey mite and lone star tick (amblyomma americanum). 201424605342
a systems biology approach to the characterization of stress response in dermacentor reticulatus tick unfed larvae.dermacentor reticulatus (fabricius, 1794) is distributed in europe and asia where it infests and transmits disease-causing pathogens to humans, pets and other domestic and wild animals. however, despite its role as a vector of emerging or re-emerging diseases, very little information is available on the genome, transcriptome and proteome of d. reticulatus. tick larvae are the first developmental stage to infest hosts, acquire infection and transmit pathogens that are transovarially transmitted a ...201424586875
a blood meal-induced ixodes scapularis tick saliva serpin inhibits trypsin and thrombin, and interferes with platelet aggregation and blood clotting.ixodes scapularis is a medically important tick species that transmits causative agents of important human tick-borne diseases including borreliosis, anaplasmosis and babesiosis. an understanding of how this tick feeds is needed prior to the development of novel methods to protect the human population against tick-borne disease infections. this study characterizes a blood meal-induced i. scapularis (ixsc) tick saliva serine protease inhibitor (serpin (s)), in-house referred to as ixscs-1e1. the ...201424583183
comparative bioinformatics, temporal and spatial expression analyses of ixodes scapularis organic anion transporting polypeptides.organic anion-transporting polypeptides (oatps) are an integral part of the detoxification mechanism in vertebrates and invertebrates. these cell surface proteins are involved in mediating the sodium-independent uptake and/or distribution of a broad array of organic amphipathic compounds and xenobiotic drugs. this study describes bioinformatics and biological characterization of 9 oatp sequences in the ixodes scapularis genome. these sequences have been annotated on the basis of 12 transmembrane ...201424582512
ixodid ticks associated with feral swine in texas.ixodid ticks were collected from feral swine in eight texas ecoregions from 2008-2011. sixty-two percent of 806 feral swine were infested with one or more of the following species: amblyomma americanum, a. cajennense, a. maculatum, dermacentor albipictus, d. halli, d. variabilis, and ixodes scapularis. juvenile and adult feral swine of both sexes were found to serve as host to ixodid ticks. longitudinal surveys of feral swine at four geographic locations show persistent year-round tick infestati ...201324581367
rickettsiae and ehrlichiae within a city park: is the urban dweller at risk?tick-borne diseases, such as spotted fever rickettsioses and ehrlichioses, are potentially severe and life-threatening infections. the incidences of these infections increase during warm weather months as ticks become active. clinicians often consider outdoor activities in rural areas to be a risk factor for exposure to ticks and the pathogens they carry, but are those who live, work, and play within an urban environment excluded from this risk? in this study, we collected ticks from two urban p ...201424528097
genome characterization of long island tick rhabdovirus, a new virus identified in amblyomma americanum ticks.ticks are implicated as hosts to a wide range of animal and human pathogens. the full range of microbes harbored by ticks has not yet been fully explored.201424517260
macroparasite fauna of alien grey squirrels (sciurus carolinensis): composition, variability and implications for native species.introduced hosts populations may benefit of an "enemy release" through impoverishment of parasite communities made of both few imported species and few acquired local ones. moreover, closely related competing native hosts can be affected by acquiring introduced taxa (spillover) and by increased transmission risk of native parasites (spillback). we determined the macroparasite fauna of invasive grey squirrels (sciurus carolinensis) in italy to detect any diversity loss, introduction of novel para ...201424505348
microbial communities and symbionts in the hard tick haemaphysalis longicornis (acari: ixodidae) from north china.close relationships between ticks and microbial communities are important for tick fitness and pathogen colonization and transmission. haemaphysalis longicornis, distributed widely in china, can carry and transmit various pathogens and pose serious damages to public health and economics. however, little is known about the broader array of microbial communities and symbionts in h. longicornis under natural conditions. in the present study, we investigated the composition of bacterial communities ...201324499619
drug allergens and food--the cetuximab and galactose-α-1,3-galactose story.a novel form of food allergy has been described that initially became apparent from ige reactivity with the drug cetuximab. ongoing work regarding the etiology, distribution, clinical management, and cellular mechanisms of the ige response to the oligosaccharide galactose-α-1,3-galactose (α-gal) is reviewed.201324468247
present and future potential of plant-derived products to control arthropods of veterinary and medical significance.the use of synthetic pesticides and repellents to target pests of veterinary and medical significance is becoming increasingly problematic. one alternative approach employs the bioactive attributes of plant-derived products (pdps). these are particularly attractive on the grounds of low mammalian toxicity, short environmental persistence and complex chemistries that should limit development of pest resistance against them.several pesticides and repellents based on pdps are already available, and ...201424428899
the ticks (acari: ixodida: argasidae, ixodidae) of bolivia.the tick species reported in bolivia are reviewed here as (1) endemic or established: ornithodoros echimys, o. guaporensis, o. hasei, o. kohlsi, o. mimon, o. peropteryx, o. rostratus, otobius megnini, amblyomma auricularium, a. cajennense, a. calcaratum, a. coelebs, a. dubitatum, a. humerale, a. incisum, a. longirostre, a. naponense, a. nodosum, a. oblongoguttatum, a. ovale, a. parvitarsum, a. parvum, a. pecarium, a. pseudoconcolor, a. rotundatum, a. scalpturatum, a. tigrinum, a. triste, dermace ...201424406053
laboratory identification of arthropod ectoparasites.the collection, handling, identification, and reporting of ectoparasitic arthropods in clinical and reference diagnostic laboratories are discussed in this review. included are data on ticks, mites, lice, fleas, myiasis-causing flies, and bed bugs. the public health importance of these organisms is briefly discussed. the focus is on the morphological identification and proper handling and reporting of cases involving arthropod ectoparasites, particularly those encountered in the united states. o ...201424396136
insecticide/acaricide resistance in fleas and ticks infesting dogs and cats.this review defines insecticide/acaricide resistance and describes the history, evolution, types, mechanisms, and detection of resistance as it applies to chemicals currently used against fleas and ticks of dogs and cats and summarizes resistance reported to date. we introduce the concept of refugia as it applies to flea and tick resistance and discuss strategies to minimize the impact and inevitable onset of resistance to newer classes of insecticides. our purpose is to provide the veterinary p ...201424393426
comparative proteomics for the characterization of the most relevant amblyomma tick species as vectors of zoonotic pathogens worldwide.ticks transmit zoonotic pathogens worldwide. nevertheless, very little information is available on their genome, transcriptome and proteome. herein, we characterized the proteome of amblyomma americanum adults and nymphs because of their role in pathogen transmission and compared the proteome of a. americanum, a. cajennense and a. variegatum adult ticks. we also used de novo sequencing proteomics data for the analysis of the phylogenetic relationships between the three amblyomma spp. in a proof ...201424382551
arthropod bites.the phylum arthropoda includes arachnids and insects. although their bites typically cause only local reactions, some species are venomous or transmit disease. the two medically important spiders in the united states are widow spiders (latrodectus), the bite of which causes intense muscle spasms, and the brown recluse (loxosceles), which may cause skin necrosis. widow bites usually respond to narcotics, benzodiazepines, or, when necessary, antivenom. most recluse bites resolve uneventfully witho ...201324364549
"rickettsia amblyommii" and r. montanensis infection in dogs following natural exposure to ticks.to determine the risk of canine infection with spotted fever group (sfg) rickettsia spp. following natural tick exposure, 10 dogs determined to be free of evidence of exposure to or infection with tick-borne disease agents were exposed to ticks via weekly walks in a wooded area in north-central oklahoma. after each walk, dogs were examined and the number and species of ticks present were recorded. the dogs were then returned to outdoor kennels to allow the infestations and subsequent transmissio ...201424359419
hormonal and behavioral changes induced by acute and chronic experimental infestation with psoroptes cuniculi in the domestic rabbit oryctolagus cuniculus.parasitic diseases are important in animal production because they cause high economic losses. affected animals often exhibit stereotypical behavioral alterations such as anorexia and inactivity, among others. among the diseases that commonly affect domestic rabbits is mange, which is caused by the mite psoroptes cuniculi. therefore, within the context of the host-parasite relationship, it is critical to understand the mechanisms involved in the alteration of host behavior, in order to better ut ...201324354923
molecular epidemiology of the emerging zoonosis agent anaplasma phagocytophilum (foggie, 1949) in dogs and ixodid ticks in brazil.anaplasma phagocytophilum is an emerging pathogen of humans, dogs and other animals, and it is transmitted by ixodid ticks. the objective of the current study was a) detect a. phagocytophilum in dogs and ixodid ticks using real-time polymerase chain reaction (qpcr); and b) determine important variables associated to host, environment and potential tick vectors that are related to the presence of a. phagocytophilum in dogs domiciled in rio de janeiro, brazil.201324330631
the ovarian transcriptome of the cattle tick, rhipicephalus (boophilus) microplus, feeding upon a bovine host infected with babesia bovis.cattle babesiosis is a tick-borne disease of cattle with the most severe form of the disease caused by the apicomplexan, babesia bovis. babesiosis is transmitted to cattle through the bite of infected cattle ticks of the genus rhipicephalus. the most prevalent species is rhipicephalus (boophilus) microplus, which is distributed throughout the tropical and subtropical countries of the world. the transmission of b. bovis is transovarian and a previous study of the r. microplus ovarian proteome ide ...201324330595
amblyomma cajennense (fabricius, 1787) (acari: ixodidae), the cayenne tick: phylogeography and evidence for allopatric speciation.amblyomma cajennense f. is one of the best known and studied ticks in the new world because of its very wide distribution, its economical importance as pest of domestic ungulates, and its association with a variety of animal and human pathogens. recent observations, however, have challenged the taxonomic status of this tick and indicated that intraspecific cryptic speciation might be occurring. in the present study, we investigate the evolutionary and demographic history of this tick and examine ...201324320199
chemical composition and insecticidal activity of plant essential oils from benin against anopheles gambiae (giles).insecticide resistance in sub-saharan africa and especially in benin is a major public health issue hindering the control of the malaria vectors. each anopheles species has developed a resistance to one or several classes of the insecticides currently in use in the field. therefore, it is urgent to find alternative compounds to conquer the vector. in this study, the efficacies of essential oils of nine plant species, which are traditionally used to avoid mosquito bites in benin, were investigate ...201324298981
exploring the link between pholcodine exposure and neuromuscular blocking agent anaphylaxis.neuromuscular blocking agents (nmbas) are the most commonly implicated drugs in ige-mediated anaphylaxis during anaesthesia that can lead to perioperative morbidity and mortality. the rate of nmba anaphylaxis shows marked geographical variation in patients who have had no known prior exposure to nmbas, suggesting that there may be external or environmental factors that contribute to the underlying aetiology and pathophysiology of reactions. substituted ammonium ions are shared among nmbas and ar ...024251966
ticks and spotted fever group rickettsiae of southeastern virginia.the incidence of tick-borne rickettsial disease in the southeastern united states has been rising steadily through the past decade, and the range expansions of tick species and tick-borne infectious agents, new and old, has resulted in an unprecedented mix of vectors and pathogens. the results of an ongoing 4-year surveillance project describe the relative abundance of questing tick populations in southeastern virginia. since 2009, more than 66,000 questing ticks of 7 species have been collected ...201324201057
single-tube real-time pcr assay for differentiation of ixodes affinis and ixodes scapularis.ixodes affinis neumann (1899) and ixodes scapularis say (1821) are tick vectors of the etiologic agent of lyme disease, borrelia burgdorferi sensu stricto. ixodes affinis and i. scapularis are morphologically very similar, and as they are sympatric in the mid- and south-atlantic u.s. coastal states, their accurate identification is crucial to studies of disease and vector ecology in this area. this work describes a rapid, single-tube sybr(®) green-based real-time pcr assay for differentiation of ...201324192510
molecular and functional characterization of vacuolar-atpase from the american dog tick dermacentor variabilis.vacuolar (v)-atpase is a proton-translocating enzyme that acidifies cellular compartments for various functions such as receptor-mediated endocytosis, intracellular trafficking and protein degradation. previous studies in dermacentor variabilis chronically infected with rickettsia montanensis have identified v-atpase as one of the tick-derived molecules transcribed in response to rickettsial infection. to examine the role of the tick v-atpase in tick-rickettsia interactions, a full-length 2887-b ...201324164319
diversity of rickettsiales in the microbiome of the lone star tick, amblyomma americanum.ticks are important vectors for many emerging pathogens. however, they are also infected with many symbionts and commensals, often competing for the same niches. in this paper, we characterize the microbiome of amblyomma americanum (acari: ixodidae), the lone star tick, in order to better understand the evolutionary relationships between pathogens and nonpathogens. multitag pyrosequencing of prokaryotic 16s rrna genes (16s rrna) was performed on 20 lone star ticks (including males, females, and ...201424162580
a nod to disease vectors: mitigation of pathogen sensing by arthropod saliva.arthropod saliva possesses anti-hemostatic, anesthetic, and anti-inflammatory properties that facilitate feeding and, inadvertently, dissemination of pathogens. vector-borne diseases caused by these pathogens affect millions of people each year. many studies address the impact of arthropod salivary proteins on various immunological components. however, whether and how arthropod saliva counters nod-like (nlr) sensing remains elusive. nlrs are innate immune pattern recognition molecules involved i ...201324155744
ehrlichia moonlighting effectors and interkingdom interactions with the mononuclear phagocyte.ehrlichia chaffeensis is an obligately intracellular gram negative bacterium with a small genome that thrives in mammalian mononuclear phagocytes by exploiting eukaryotic processes. herein, we discuss the latest findings on moonlighting tandem repeat protein effectors and their secretion mechanisms, and novel molecular interkingdom interactions that provide insight into the intracellular pathobiology of ehrlichiae.201324141087
empiric antibiotic treatment of erythema migrans-like skin lesions as a function of geography: a clinical and cost effectiveness modeling study.the skin lesion of early lyme disease, erythema migrans (em), is so characteristic that routine practice is to treat all such patients with antibiotics. because other skin lesions may resemble em, it is not known whether presumptive treatment of em is appropriate in regions where lyme disease is rare. we constructed a decision model to compare the cost and clinical effectiveness of three strategies for the management of em: treat all, observe, and serology as a function of the probability that a ...201324107201
ehrlichia chaffeensis uses its surface protein etpe to bind gpi-anchored protein dnase x and trigger entry into mammalian cells.ehrlichia chaffeensis, an obligatory intracellular rickettsial pathogen, enters and replicates in monocytes/macrophages and several non-phagocytic cells. e. chaffeensis entry into mammalian cells is essential not only for causing the emerging zoonosis, human monocytic ehrlichiosis, but also for its survival. it remains unclear if e. chaffeensis has evolved a specific surface protein that functions as an 'invasin' to mediate its entry. we report a novel entry triggering protein of ehrlichia, etpe ...201324098122
emerging antigens involved in allergic responses.new allergic diseases can 'emerge' because of exposure to a novel antigen, because the immune responsiveness of the subject changes, or because of a change in the behavior of the population. novel antigens have entered the environment as new pests in the home (e.g., asian lady beetle or stink bugs), in the diet (e.g., prebiotics or wheat isolates), or because of the spread of a biting arthropod (e.g., ticks). over the last few years, a significant new disease has been identified, which has chang ...201324095162
red meat allergy in sweden: association with tick sensitization and b-negative blood groups. 201324094548
update on tick-borne rickettsioses around the world: a geographic approach.tick-borne rickettsioses are caused by obligate intracellular bacteria belonging to the spotted fever group of the genus rickettsia. these zoonoses are among the oldest known vector-borne diseases. however, in the past 25 years, the scope and importance of the recognized tick-associated rickettsial pathogens have increased dramatically, making this complex of diseases an ideal paradigm for the understanding of emerging and reemerging infections. several species of tick-borne rickettsiae that wer ...024092850
increasing frequency of feline cytauxzoonosis cases diagnosed in western kentucky from 2001 to 2011.feline cytauxzoonosis is a rapidly progressing and usually fatal disease in domestic cats caused by the tick-borne pathogen, cytauxzoon felis. the primary reservoir host for this protozoan parasite is the bobcat (lynx rufus). in this retrospective study, we have examined the positive cases of feline cytauxzoonosis identified at murray state university's breathitt veterinary center, a regional diagnostic facility located in hopkinsville, kentucky, between january 2001 and december 2011. center re ...201324035030
merogonic stages of theileria cervi in mule deer (odocoileus hemionus).in february 2012, 12 farmed mule deer (odocoileus hemionus) were moved from a facility in southwestern oklahoma to a facility in southeastern oklahoma that housed 100 farmed white-tailed deer (odocoileus virginianus). between the third and fifth weeks, 9 of the 12 mule deer had died, 4 of which were submitted for necropsy. the deer were heavily infested with amblyomma americanum (lone star ticks). hematologic data from 1 deer revealed severe anemia, leukocytosis, and intraerythrocytic hemoparasi ...201324029405
a novel candidate vaccine for cytauxzoonosis inferred from comparative apicomplexan genomics.cytauxzoonosis is an emerging infectious disease of domestic cats (felis catus) caused by the apicomplexan protozoan parasite cytauxzoon felis. the growing epidemic, with its high morbidity and mortality points to the need for a protective vaccine against cytauxzoonosis. unfortunately, the causative agent has yet to be cultured continuously in vitro, rendering traditional vaccine development approaches beyond reach. here we report the use of comparative genomics to computationally and experiment ...201323977000
tick salivary compounds: their role in modulation of host defences and pathogen transmission.ticks require blood meal to complete development and reproduction. multifunctional tick salivary glands play a pivotal role in tick feeding and transmission of pathogens. tick salivary molecules injected into the host modulate host defence responses to the benefit of the feeding ticks. to colonize tick organs, tick-borne microorganisms must overcome several barriers, i.e., tick gut membrane, tick immunity, and moulting. tick-borne pathogens co-evolved with their vectors and hosts and developed m ...201323971008
activity of the plant-based repellent, tt-4302 against the ticks amblyomma americanum, dermacentor variabilis, ixodes scapularis and rhipicephalus sanguineus (acari: ixodidae).the plant-based repellent tt-4302 (5 % geraniol) was compared to deet (15 %) in laboratory two-choice bioassays against the ticks amblyomma americanum, dermacentor variabilis, ixodes scapularis, and rhipicephalus sanguineus. at 2.5 and 3.5 h after treatment of filter paper with tt-4302, 100 % repellency was observed for all species at both time points with the exception of i. scapularis at the 3.5 h evaluation where repellency was 95.8 %. deet was 100 % repellent at both time points for d. varia ...201423907554
anaplasma phagocytophilum--a widespread multi-host pathogen with highly adaptive strategies.the bacterium anaplasma phagocytophilum has for decades been known to cause the disease tick-borne fever (tbf) in domestic ruminants in ixodes ricinus-infested areas in northern europe. in recent years, the bacterium has been found associated with ixodes-tick species more or less worldwide on the northern hemisphere. a. phagocytophilum has a broad host range and may cause severe disease in several mammalian species, including humans. however, the clinical symptoms vary from subclinical to fatal ...201323885337
first detection of heartland virus (bunyaviridae: phlebovirus) from field collected arthropods.heartland virus (hrtv), the first pathogenic phlebovirus (family: bunyaviridae) discovered in the united states, was recently described from two missouri farmers. in 2012, we collected 56,428 ticks representing three species at 12 sites including both patients' farms. amblyomma americanum and dermacentor variabilis accounted for nearly all ticks collected. ten pools composed of deplete nymphs of a. americanum collected at a patient farm and a nearby conservation area were reverse transcription-p ...201323878186
host blood meal-dependent growth ensures transovarial transmission and transstadial passage of rickettsia sp. phylotype g021 in the western black-legged tick (ixodes pacificus).in this study, we explored the growth dynamics of rickettsia sp. phylotype g021 during transovarial transmission and transstadial passage by ixodes pacificus using real-time quantitative pcr. four parental engorged i. pacificus females were allowed to complete their developmental stages until the f2-generation eggs yielded unfed larvae. all eggs, larvae, nymphs, and adults tested through 2 generations were found to be infected with phylotype g021. hence, we conclude that the efficiency of transo ...201323876278
identification and expression of macrophage migration inhibitory factor in sarcoptes scabiei.macrophage migration inhibitory factor (mif) is a pleiotropic proinflammatory cytokine produced by many mammalian tissues including skin. it is also found in many invertebrate parasites of mammals including ticks and may function to aid the parasite to evade the innate and adaptive immune responses in the host. in this study, the cdna for a mif gene was sequenced from sarcoptes scabiei, the scabies mite, using rt-pcr and race molecular techniques. the resulting nucleotide sequence had a length o ...201323831036
preliminary assessment of microbiome changes following blood-feeding and survivorship in the amblyomma americanum nymph-to-adult transition using semiconductor sequencing.the physiology of ticks supports a diverse community of non-pathogenic and pathogenic organisms. this study aims to initially characterize the microbial community present within colony-reared amblyomma americanum using pcr of the variable region 5 of the 16s rrna gene followed by semiconductor sequencing and classification of sequence data using the ribosomal database project and mg-rast analysis tools. comparison of amplicon library datasets revealed changes in the microbiomes in newly engorged ...201323826210
lyme borreliosis in human patients in florida and georgia, usa.the aim of this study was to determine the cause of illness in several human patients residing in florida and georgia, usa, with suspected lyme disease based upon em-like skin lesions and/or symptoms consistent with early localized or late disseminated lyme borreliosis. using polymerase chain reaction (pcr) assays developed specifically for lyme group borrelia spp., followed by dna sequencing for confirmation, we identified borrelia burgdorferi sensu lato dna in samples of blood and skin and als ...201323781138
prevalence of antibodies to spotted fever group rickettsia spp. and ehrlichia spp. in coyotes (canis latrans) in oklahoma and texas, usa.coyotes (canis latrans) are commonly infested with ticks, including amblyomma americanum, the predominant vector of ehrlichia chaffeensis and ehrlichia ewingii; dermacentor variabilis, an important vector of rickettsia rickettsii; and amblyomma maculatum, a major vector of rickettsia parkeri, a spotted fever group (sfg) rickettsia. to determine the degree to which coyotes are infected with or exposed to tick-borne bacterial disease agents, serum samples collected from coyotes in oklahoma and tex ...201323778619
a crayfish insulin-like-binding protein: another piece in the androgenic gland insulin-like hormone puzzle is revealed.across the animal kingdom, the involvement of insulin-like peptide (ilp) signaling in sex-related differentiation processes is attracting increasing attention. recently, a gender-specific ilp was identified as the androgenic sex hormone in crustacea. however, moieties modulating the actions of this androgenic insulin-like growth factor were yet to be revealed. through molecular screening of an androgenic gland (ag) cdna library prepared from the crayfish cherax quadricarinatus, we have identifie ...201323775079
efficacy of an imidacloprid 10 % / flumethrin 4.5 % collar (seresto®, bayer) for preventing the transmission of cytauxzoon felis to domestic cats by amblyomma americanum.infection of cytauxzoon felis in domestic cats produces a severe disease characterised by fever, lethargy, inappetence, anorexia, depression, dehydration, icterus and often death. transmission of c. felis to cats is dependent on being fed upon by infected amblyomma americanum (lone star ticks). the purpose of the present study was to determine if application of a 10 % imidacloprid/4.5 % flumethrin collar (seresto®, bayer) on cats prevents transmission of c. felis by repelling ticks. twenty cats ...201323760871
tick bites and red meat allergy.a novel form of anaphylaxis has been described that is due to ige antibody (ab) directed against a mammalian oligosaccharide epitope, galactose-alpha-1,3-galactose (alpha-gal). ongoing work regarding the cause and distribution of this ige response is reviewed.201323743512
a conceptual model of the amblyomma americanum life cycle in northeast missouri.the geographic distribution of amblyomma americanum (the lone star tick) has increased as has its role as a pathogen vector. the objectives of this study were to determine seasonal activity patterns of each life stage of a. americanum in the northwestern part of the species range and the relationship of these activity patterns among life stages and degree days. tick activity was monitored over four years since 2007 in a forest and old field habitat located in northeast missouri. every other week ...201323701610
aggregate-reactivation activity of the molecular chaperone clpb from ehrlichia chaffeensis.rickettsiale diseases, including human monocytic ehrlichiosis caused by ehrlichia chaffeensis, are the second leading cause of the tick-borne infections in the usa and a growing health concern. little is known about how e. chaffeensis survives the host-induced stress in vertebrate and tick hosts. a molecular chaperone clpb from several microorganisms has been reported to reactivate aggregated proteins in cooperation with the co-chaperones dnak/dnaj/grpe (kje). in this study, we performed the fir ...201323667479
age-dependent expression of stress and antimicrobial genes in the hemocytes and siphon tissue of the antarctic bivalve, laternula elliptica, exposed to injury and starvation.increasing temperatures and glacier melting at the western antarctic peninsula (wap) are causing rapid changes in shallow coastal and shelf systems. climate change-related rising water temperatures, enhanced ice scouring, as well as coastal sediment runoff, in combination with changing feeding conditions and microbial community composition, will affect all elements of the nearshore benthic ecosystem, a major component of which is the antarctic soft-shelled clam laternula elliptica. a 454-based r ...201323666709
plane of nutrition x tick burden interaction in cattle: effect on fecal composition.effective tick management on grazing animals is facilitated by accurate noninvasive detection methods. fecal analysis provides information about animal health and nutrition. diet affects fecal composition; stress may do likewise. the constituents in feces that may be affected by tick burdens and in turn affect near-infrared spectra have not been reported. our objective was to examine the interaction between plane of nutrition and tick burden on fecal composition in cattle. angus cross steers (n ...201323658354
the genome sequence of lone star virus, a highly divergent bunyavirus found in the amblyomma americanum tick.viruses in the family bunyaviridae infect a wide range of plant, insect, and animal hosts. tick-borne bunyaviruses in the phlebovirus genus, including severe fever with thrombocytopenia syndrome virus (sftsv) in china, heartland virus (hrtv) in the united states, and bhanja virus in eurasia and africa have been associated with acute febrile illness in humans. here we sought to characterize the growth characteristics and genome of lone star virus (lsv), an unclassified bunyavirus originally isola ...201323637969
comparison of a real-time pcr method with serology and blood smear analysis for diagnosis of human anaplasmosis: importance of infection time course for optimal test utilization.anaplasmosis and ehrlichiosis are emerging tick-borne diseases with clinically similar presentations caused by closely related pathogens. currently, laboratories rely predominantly on blood smear analysis (for the detection of intracellular morulae) and on serologic tests, both of which have recognized limitations, for diagnostic purposes. we compared the performance of a published real-time pcr assay that incorporates melt curve analysis to differentiate anaplasma and ehrlichia species with blo ...201323637292
anti-gal: an abundant human natural antibody of multiple pathogeneses and clinical benefits.anti-gal is the most abundant natural antibody in humans, constituting ~ 1% of immunoglobulins. anti-gal is naturally produced also in apes and old world monkeys. the ligand of anti-gal is a carbohydrate antigen called the 'α-gal epitope' with the structure galα1-3galβ1-4glcnac-r. the α-gal epitope is present as a major carbohydrate antigen in non-primate mammals, prosimians and new world monkeys. anti-gal can contributes to several immunological pathogeneses. anti-gal ige produced in some indiv ...023578170
galactose-α-1,3-galactose and delayed anaphylaxis, angioedema, and urticaria in children.despite a thorough history and comprehensive testing, many children who present with recurrent symptoms consistent with allergic reactions elude diagnosis. recent research has identified a novel cause for "idiopathic" allergic reactions; immunoglobulin e (ige) antibody specific for the carbohydrate galactose-α-1,3-galactose (α-gal) has been associated with delayed urticaria and anaphylaxis that occurs 3 to 6 hours after eating beef, pork, or lamb. we sought to determine whether ige antibody to α ...201323569097
the effects of solenopsis invicta (hymenoptera: formicidae) and burned habitat on the survival of amblyomma americanum (acari: ixodidae) and amblyomma maculatum (acari: ixodidae).identifying ways in which humans can reduce tick populations is important for preventing the spread and emergence of diseases. during a recent study on effects of long-term prescribed burning on ticks, differences in species composition were observed with lone star ticks, amblyomma americanum (l.), preferring unburned habitats and gulf coast ticks, amblyomma maculatum (koch), preferring burned habitats. interestingly, the red imported fire ant, solenopsis invicta buren, is found predominantly in ...201323540113
lone star tick (acari: ixodidae) occurrence in nebraska: historical and current perspectives.in 2010 and 2011, field collections were undertaken to determine the geographic range of the lone star tick, amblyomma americanum (l.), in nebraska in addition, tick identifications from submissions by the general public dating to 1911 were examined. consistent lone star tick identifications from extreme southeast nebraska began in 1987. specimens have been identified from 27 counties, making lone star ticks the second most frequently and second most widely reported tick in the state after derma ...201323540110
what is the risk for exposure to vector-borne pathogens in united states national parks?united states national parks attract > 275 million visitors annually and collectively present risk of exposure for staff and visitors to a wide range of arthropod vector species (most notably fleas, mosquitoes, and ticks) and their associated bacterial, protozoan, or viral pathogens. we assessed the current state of knowledge for risk of exposure to vector-borne pathogens in national parks through a review of relevant literature, including internal national park service documents and organismal ...201323540107
knowledge and prevention of tick-borne diseases vary across an urban-to-rural human land-use gradient.we sought to determine the behavioral risk of exposure to tick-borne diseases across a human land-use gradient in a region endemic for diseases transmitted by the lone star tick. we measured the knowledge, attitudes, and preventive behaviors of visitors to 14 suburban, exurban, and rural recreational parks. a structured interview was conducted to determine respondents' (n=238) knowledge of tick-borne disease risk, perceived susceptibility to tick-borne disease, and tick bite prevention behaviors ...201323538110
bioactivity-guided investigation of geranium essential oils as natural tick repellents.the evaluation of 10 essential oils of geranium, pelargonium graveolens (geraniaceae), were all shown to have repellent activity against nymphs of the medically important lone star tick, amblyomma americanum (l.). the biological tests were carried out using a vertical filter paper bioassay, where ticks must cross an area of the paper treated with repellent to approach host stimuli. one of the essential oil samples that repelled >90% of the ticks at 0.103 mg/cm(2) was selected for further fractio ...201323528036
amblyomma americanum tick saliva serine protease inhibitor 6 is a cross-class inhibitor of serine proteases and papain-like cysteine proteases that delays plasma clotting and inhibits platelet aggregation.we previously demonstrated that amblyomma americanum tick serine protease inhibitor 6 (aams6) was secreted into the host during tick feeding and that both its mrna and protein were ubiquitously and highly expressed during the first 3 days of tick feeding. this study demonstrates that aams6 is a cross-class inhibitor of both serine- and papain-like cysteine proteases that has apparent antihaemostatic functions. consistent with the typical inhibitory serpin characteristics, enzyme kinetics analyse ...201323521000
molecular characterization and functional significance of the vti family of snare proteins in tick salivary glands.exocytosis involves membrane fusion between secretory vesicles and the plasma membrane. the soluble n-ethylmaleimide-sensitive factor attachment proteins (snaps) and their receptor proteins (snares) interact to fuse vesicles with the membrane and trigger the release of their sialosecretome out of the tick salivary gland cells. in this study, we examined the functional significance of the vti family of snare proteins of blood-feeding amblyomma maculatum and amblyomma americanum. vti1a and vti1b h ...201323499931
targeted and random mutagenesis of ehrlichia chaffeensis for the identification of genes required for in vivo infection.ehrlichia chaffeensis is a tick transmitted pathogen responsible for the disease human monocytic ehrlichiosis. research to elucidate gene function in rickettsial pathogens is limited by the lack of genetic manipulation methods. mutational analysis was performed, targeting to specific and random insertion sites within the bacterium's genome. targeted mutagenesis at six genomic locations by homologous recombination and mobile group ii intron-based methods led to the consistent identification of mu ...201323459099
why so many unknown genes? partitioning orphans from a representative transcriptome of the lone star tick amblyomma americanum.genomic resources within the phylum arthropoda are largely limited to the true insects but are beginning to include unexplored subphyla, such as the crustacea and chelicerata. investigations of these understudied taxa uncover high frequencies of orphan genes, which lack detectable sequence homology to genes in pre-existing databases. the ticks (acari: chelicerata) are one such understudied taxon for which genomic resources are urgently needed. ticks are obligate blood-feeders that vector major d ...201323445305
rna interference-mediated depletion of n-ethylmaleimide sensitive fusion protein and synaptosomal associated protein of 25 kda results in the inhibition of blood feeding of the gulf coast tick, amblyomma maculatum.the signalling pathways in tick salivary glands that control 'sialo-secretome' secretion at the tick-host interface remain elusive; however, this complex process is essential for successful feeding and manipulation of the host haemostatic response. exocytosis of the sialo-secretome in the salivary glands requires a core of soluble n-ethylmaleimide-sensitive fusion (nsf) attachment proteins (snaps) and receptor proteins (snares). snares have been identified as the key components in regulating the ...201323437815
deorphanization and target validation of cross-tick species conserved novel amblyomma americanum tick saliva protein.we previously identified a cross-tick species conserved tick feeding stimuli responsive amblyomma americanum (aam) av422 gene. this study demonstrates that aamav422 belongs to a novel group of arthropod proteins that is characterized by 14 cysteine amino acid residues: c(23)-x7/9-c(33)-x23/24-c(58)-x8-c(67)-x7-c(75)-x23-c(99)-x15-c(115)-x10-c(126)-x24/25/33-c(150)c(151)-x7-c(159)-x8-c(168)-x23/24-c(192)-x9/10-c(202) predicted to form seven disulfide bonds. we show that aamav422 protein is a ubiq ...201323428900
effects of infection by arsenophonus and rickettsia bacteria on the locomotive ability of the ticks amblyomma americanum, dermacentor variabilis, and ixodes scapularis.the goal of this study was to determine the effect of vertically transmitted arsenophonus and rickettsia bacteria on locomotive ability of larvae of three eastern north american tick species: amblyomma americanum, dermacentor variabilis, and ixodes scapularis. we conducted two different experiments on flat or inclined surfaces to measure tick motility. in each experiment, a moderately heated surface was used and placed at a selected incline. the individual's path across the surface was traced fo ...201323427665
a white-tailed deer/lone star tick model for studying transmission of ehrlichia chaffeensis.animal models for ehrlichia chaffeensis have been unsuccessful in recapitulating the natural disease cycle. we have developed an animal model for tick feeding and transmission using white-tailed deer (odocoileus virgianus), the intracellular bacterium (ehrlichia chaffeensis), and the lone star tick vector (amblyomma americanum). here, we report the acquisition and transmission of e. chaffeensis infections by refeeding male ticks in this experimental model. this finding is important because techn ...201323421885
detection of human bacterial pathogens in ticks collected from louisiana black bears (ursus americanus luteolus).there are 4 major human-biting tick species in the northeastern united states, which include: amblyomma americanum, amblyomma maculatum, dermacentor variabilis, and ixodes scapularis. the black bear is a large mammal that has been shown to be parasitized by all the aforementioned ticks. we investigated the bacterial infections in ticks collected from louisiana black bears (ursus americanus subspecies luteolus). eighty-six ticks were collected from 17 black bears in louisiana from june 2010 to ma ...201323415850
unlocking holocentric chromosomes: new perspectives from comparative and functional genomics?the presence of chromosomes with diffuse centromeres (holocentric chromosomes) has been reported in several taxa since more than fifty years, but a full understanding of their origin is still lacking. comparative and functional genomics are nowadays furnishing new data to better understand holocentric chromosome evolution thus opening new perspectives to analyse karyotype rearrangements in species with holocentric chromosomes in particular evidencing unusual common features, such as the uniform ...023372420
the effects of ingested mammalian blood factors on vector arthropod immunity and physiology.the blood feeding behavior of disease-transmitting arthropods creates a unique intersection between vertebrate and invertebrate physiology. here, we review host blood-derived factors that persist through blood digestion to affect the lifespan, reproduction, and immune responses of some of the most common arthropod vectors of human disease.201323370408
receptors for the neuropeptides, myoinhibitory peptide and sifamide, in control of the salivary glands of the blacklegged tick ixodes scapularis.tick salivary glands are important organs that enable the hematophagous feeding of the tick. we previously described the innervation of the salivary gland acini types ii and iii by a pair of protocerebral salivary gland neurons that produce both myoinhibitory peptide (mip) and sifamide (šimo et al., 2009b). in this study we identified authentic receptors expressed in the salivary glands for these neuropeptides. homology-based searches for these receptors in the ixodes scapularis genome sequence ...201323357681
efficacy of amitraz-impregnated collars on white-tailed deer (artiodactyla: cervidae) in reducing free-living populations of lone star ticks (acari: ixodidae).over a 7 yr period, we monitored the effect of a commercially available, amitraz impregnated anti-tick collar in controlling free-living populations of lone star ticks, amblyomma americanum (l.) when manually fitted around necks of white-tailed deer, odocoileus virginianus (zimmermann). study animals in treatment and control groups were confined in 38.8 ha game-fenced and densely vegetated treatment plots in south texas. tick densities during years 1 and 7 served as untreated pre- and posttreatm ...201223356088
coinfection of dermacentor silvarum olenev (acari: ixodidae) by coxiella-like, arsenophonus-like, and rickettsia-like symbionts.we report that multiple symbionts coexist in dermacentor silvarum. based on 16s rrna gene sequence analyses, we prove that coxiella-like and arsenophonus-like symbionts, with 95.6% and 96.7% sequence similarity to symbionts in the closest taxon, respectively, are novel. moreover, we also provide evidence that the coxiella-like symbiont appears to be the primary symbiont.201323354701
meningoencephalitis from borrelia miyamotoi in an immunocompromised patient.ixodes ticks serve as vectors for borrelia burgdorferi, the agent of lyme disease. globally, these ticks often concurrently harbor b. miyamotoi, a spirochete that is classified within the relapsing-fever group of spirochetes. although humans presumably are exposed to b. miyamotoi, there are limited data suggesting disease attributable to it. we report a case of progressive mental deterioration in an older, immunocompromised patient, and even though koch's postulates were not met, we posit b. miy ...201323323900
differentially expressed genes in hirudo medicinalis ganglia after acetyl-l-carnitine treatment.acetyl-l-carnitine (alc) is a naturally occurring substance that, when administered at supra-physiological concentration, is neuroprotective. it is involved in membrane stabilization and in enhancement of mitochondrial functions. it is a molecule of considerable interest for its clinical application in various neural disorders, including alzheimer's disease and painful neuropathies. alc is known to improve the cognitive capability of aged animals chronically treated with the drug and, recently, ...201323308261
ehrlichia chaffeensis replication sites in adult drosophila melanogaster.ehrlichia chaffeensis is a gram-negative, obligate intracellular bacterium which causes the tick-borne disease human monocytic ehrlichiosis. in vertebrates, e. chaffeensis replicates in monocytes and macrophages. however, no clear cell or tissue tropism has been defined in arthropods. our group identified two host genes that control e. chaffeensis replication and infection in vivo in drosophila, uridine cytidine kinase and separation anxiety. using the uas-gal4 rnai system, we generated f1 flies ...201323306065
a novel approach, based on blsoms (batch learning self-organizing maps), to the microbiome analysis of ticks.ticks transmit a variety of viral, bacterial and protozoal pathogens, which are often zoonotic. the aim of this study was to identify diverse tick microbiomes, which may contain as-yet unidentified pathogens, using a metagenomic approach. dna prepared from bacteria/archaea-enriched fractions obtained from seven tick species, namely amblyomma testudinarium, amblyomma variegatum, haemaphysalis formosensis, haemaphysalis longicornis, ixodes ovatus, ixodes persulcatus and ixodes ricinus, was subject ...201323303373
anaplasma odocoilei sp. nov. (family anaplasmataceae) from white-tailed deer (odocoileus virginianus).recently, an undescribed anaplasma sp. (also called ehrlichia-like sp. or wtd agent) was isolated in ise6 tick cells from captive white-tailed deer. the goal of the current study was to characterize this organism using a combination of experimental infection, morphologic, serologic, and molecular studies. each of 6 experimentally inoculated white-tailed deer fawns (odocoileus virginianus) became chronically infected (100+ days) with the anaplasma sp. by inoculation of either infected whole blood ...201223276749
detection of borrelia burgdorferi sensu stricto ospc alleles associated with human lyme borreliosis worldwide in non-human-biting tick ixodes affinis and rodent hosts in southeastern united states.comparative analysis of ospc genes from 127 borrelia burgdorferi sensu stricto strains collected in european and north american regions where lyme disease is endemic and where it is not endemic revealed a close relatedness of geographically distinct populations. ospc alleles a, b, and l were detected on both continents in vectors and hosts, including humans. six ospc alleles, a, b, l, q, r, and v, were prevalent in europe; 4 of them were detected in samples of human origin. ten ospc alleles, a, ...201323263953
acaricidal activity of ethanolic extract from aerial parts of tagetes patula l. (asteraceae) against larvae and engorged adult females of rhipicephalus sanguineus (latreille, 1806).the tick rhipicephalus sanguineus is the species with the largest worldwide distribution and is proven to be involved in the transmission of pathogens such as babesia canis, ehrlichia canis, coxiella burnetii, rickettsia ricketsii, rickettsia conorii, among others. studies have demonstrated acquisition of resistance to some of the active principles used in commercial formulations of acaricides. tagetes patula (asteraceae) is a plant with highlighted economic and commercial importance due to the ...201223244493
new species of ehrlichia isolated from rhipicephalus (boophilus) microplus shows an ortholog of the e. canis major immunogenic glycoprotein gp36 with a new sequence of tandem repeats.ehrlichia species are the etiological agents of emerging and life-threatening tick-borne human zoonoses that inflict serious and fatal infections in companion animals and livestock. the aim of this paper was to phylogeneticaly characterise a new species of ehrlichia isolated from rhipicephalus (boophilus) microplus from minas gerais, brazil.201223231731
the rare ospc allele l of borrelia burgdorferi sensu stricto, commonly found among samples collected in a coastal plain area of the southeastern united states, is associated with ixodes affinis ticks and local rodent hosts peromyscus gossypinus and sigmodon hispidus.the rare ospc allele l was detected in 30% of borrelia burgdorferi sensu stricto strains cultured from a tick species, ixodes affinis, and two rodent host species, peromyscus gossypinus and sigmodon hispidus, collected in a coastal plain area of georgia and south carolina, in the southeastern united states.201323220965
relationship between habitat type, fire frequency, and amblyomma americanum populations in east-central alabama.ticks were collected from 20 sites in the calhoun, cherokee, and cleburne counties in east-central alabama areas to determine the relationship between plant physiognomy, environmental variables, and tick populations. sites investigated included various burning regimes, wildland-urban-interface (wui), a college campus, and an unmanaged area. amblyomma americanum (l.) (acari: ixodidae) dominated the tick population while ixodes scapularis say was not encountered. there were complex differences in ...201223181862
tick cell culture isolation and growth of rickettsia raoultii from dutch dermacentor reticulatus ticks.tick cell lines play an important role in research on ticks and tick-borne pathogenic and symbiotic microorganisms. in an attempt to derive continuous dermacentor reticulatus cell lines, embryo-derived primary cell cultures were set up from eggs laid by field ticks originally collected as unfed adults in the netherlands and maintained for up to 16 months. after several months, it became evident that cells in the primary cultures were infected with a rickettsia-like intracellular organism. supern ...201223140894
tick-box for 3'-end formation of mitochondrial transcripts in ixodida, basal chelicerates and drosophila.according to the trna punctuation model, the mitochondrial genome (mtdna) of mammals and arthropods is transcribed as large polycistronic precursors that are maturated by endonucleolytic cleavage at trna borders and rna polyadenylation. starting from the newly sequenced mtdna of ixodes ricinus and using a combination of mitogenomics and transcriptional analyses, we found that in all currently-sequenced tick lineages (prostriata, metastriata and argasidae) the 3'-end of the polyadenylated nad1 an ...201223077630
delayed anaphylaxis to red meat in patients with ige specific for galactose alpha-1,3-galactose (alpha-gal).anaphylaxis is a severe allergic reaction that can be rapidly progressing and fatal. in instances where the triggering allergen is not known, establishing the etiology of anaphylaxis is pivotal to long-term risk management. our recent work has identified a novel ige antibody (ab) response to a mammalian oligosaccharide epitope, galactose-alpha-1,3-galactose (alpha-gal), that has been associated with two distinct forms of anaphylaxis: (1) immediate onset anaphylaxis during first exposure to intra ...023054628
bioinformatics and expression analyses of the ixodes scapularis tick cystatin family.the cystatins are inhibitors of papain- and legumain-like cysteine proteinases, classified in merops subfamilies i25a-i25c. this study shows that 84 % (42/50) of tick cystatins are putatively extracellular in subfamily i25b and the rest are putatively intracellular in subfamily i25a. on the neighbor joining phylogeny guide tree, subfamily i25a members cluster together, while subfamily i25b cystatins segregate among prostriata or metastriata ticks. two ixodes scapularis cystatins, aay66864 and is ...201223053911
a survey on endoparasites and ectoparasites of stray cats from mashhad (iran) and association with risk factors.as there appeared to be no data available on parasite infection of stray cats in the region and considering the potential threat of stray cats for animal and public health, the present study was carried out using biological samples and necropsy finding collected from cats captured in mashhad city in the northeast of iran. from a total 52 stray cats examined, 18 (34.6%) were male and 34 (65.4%) were female. ten species of endoparasites including helminthes and protozoa and two species of ectopara ...201123024505
migratory birds, ticks, and bartonella.bartonella spp. infections are considered to be vector-borne zoonoses; ticks are suspected vectors of bartonellae. migratory birds can disperse ticks infected with zoonotic pathogens such as rickettsia and tick-borne encephalitis virus and possibly also bartonella. thus, in the present study 386 tick specimens collected in spring 2009 from migratory birds on the mediterranean islands capri and antikythera were screened for bartonella spp. rna. one or more ticks were found on 2.7% of the birds. m ...201122957116
borrelia burgdorferi infections in the united states.it is becoming increasingly evident that the clinical presentation of infection with borrelia burgdorferi varies greatly between different parts of the world. a growing number of european and asian isolates of lyme borreliae, differing from the american strain of borrelia burgdorferi, have been identified in several different disorders. in light of the increasing number of reports describing an association between various cutaneous disorders and infection with borrelia burgdorferi and the contro ...201222916311
Displaying items 301 - 400 of 1263