Cultivation of Borrelia burgdorferi from human tick bite sites: a guide to the risk of infection.

Abstract:

BACKGROUND:The risk of acquiring Lyme disease has been evaluated by xenodiagnostic procedures with laboratory strains of Borrelia burgdorferi and laboratory-reared Ixodes ticks, or by clinical trials in which diagnosis was based on clinical findings, culture, or serologic tests. OBJECTIVE:Our purpose was to determine the risk of infection from tick bites in a natural setting in which wild strains of B. burgdorferi were involved, by a biopsy culture technique. METHODS:Skin biopsy specimens were obtained from Ixodes scapularis tick bite sites, processed, and examined for the presence of B. burgdorferi. RESULTS:B. burgdorferi was cultivated from only 2 of 48 skin biopsy specimens. In both instances duration of tick attachment was approximately 24 hours. CONCLUSION:In a hyperendemic region for Lyme disease the risk of infection after a deer tick bite appears to be low, particularly if the tick has been attached for less than 24 hours.

journal_name

J Am Acad Dermatol

authors

Berger BW,Johnson RC,Kodner C,Coleman L

doi

10.1016/0190-9622(95)90123-x

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

184-7

issue

2 Pt 1

eissn

0190-9622

issn

1097-6787

pii

0190-9622(95)90123-X

journal_volume

32

pub_type

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