Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States

Borrelia burgdorferi, the causative agent of Lyme disease, and Babesia microti, a causative agent of babesiosis, are increasingly implicated in the growing tick-borne disease burden in the northeastern United States. These pathogens are transmitted via the bite of an infected tick vector, Ixodes sca...

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Main Authors: Kristen L. Knapp, Nancy A. Rice
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Journal of Parasitology Research
Online Access:http://dx.doi.org/10.1155/2015/587131
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author Kristen L. Knapp
Nancy A. Rice
author_facet Kristen L. Knapp
Nancy A. Rice
author_sort Kristen L. Knapp
collection DOAJ
description Borrelia burgdorferi, the causative agent of Lyme disease, and Babesia microti, a causative agent of babesiosis, are increasingly implicated in the growing tick-borne disease burden in the northeastern United States. These pathogens are transmitted via the bite of an infected tick vector, Ixodes scapularis, which is capable of harboring and inoculating a host with multiple pathogens simultaneously. Clinical presentation of the diseases is heterogeneous and ranges from mild flu-like symptoms to near-fatal cardiac arrhythmias. While the reason for the variability is not known, the possibility exists that concomitant infection with both B. burgdorferi and B. microti may synergistically increase disease severity. In an effort to clarify the current state of understanding regarding coinfection with B. burgdorferi and B. microti, in this review, we discuss the geographical distribution and pathogenesis of Lyme disease and babesiosis in the United States, the immunological response of humans to B. burgdorferi or B. microti infection, the existing knowledge regarding coinfection disease pathology, and critical factors that have led to ambiguity in the literature regarding coinfection, in order to eliminate confusion in future experimental design and investigation.
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spelling doaj-art-81e542620df740df819d4c6df8ec8b272025-08-20T02:09:06ZengWileyJournal of Parasitology Research2090-00232090-00312015-01-01201510.1155/2015/587131587131Human Coinfection with Borrelia burgdorferi and Babesia microti in the United StatesKristen L. Knapp0Nancy A. Rice1Department of Biology, Western Kentucky University, Bowling Green, KY 42101, USADepartment of Biology, Western Kentucky University, Bowling Green, KY 42101, USABorrelia burgdorferi, the causative agent of Lyme disease, and Babesia microti, a causative agent of babesiosis, are increasingly implicated in the growing tick-borne disease burden in the northeastern United States. These pathogens are transmitted via the bite of an infected tick vector, Ixodes scapularis, which is capable of harboring and inoculating a host with multiple pathogens simultaneously. Clinical presentation of the diseases is heterogeneous and ranges from mild flu-like symptoms to near-fatal cardiac arrhythmias. While the reason for the variability is not known, the possibility exists that concomitant infection with both B. burgdorferi and B. microti may synergistically increase disease severity. In an effort to clarify the current state of understanding regarding coinfection with B. burgdorferi and B. microti, in this review, we discuss the geographical distribution and pathogenesis of Lyme disease and babesiosis in the United States, the immunological response of humans to B. burgdorferi or B. microti infection, the existing knowledge regarding coinfection disease pathology, and critical factors that have led to ambiguity in the literature regarding coinfection, in order to eliminate confusion in future experimental design and investigation.http://dx.doi.org/10.1155/2015/587131
spellingShingle Kristen L. Knapp
Nancy A. Rice
Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
Journal of Parasitology Research
title Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
title_full Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
title_fullStr Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
title_full_unstemmed Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
title_short Human Coinfection with Borrelia burgdorferi and Babesia microti in the United States
title_sort human coinfection with borrelia burgdorferi and babesia microti in the united states
url http://dx.doi.org/10.1155/2015/587131
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