title: Case report: Borrelia valaisiana infection in a Japanese man associated with traveling to foreign countries.
abstract: A 78-year-old Japanese man who had clinical symptoms and a flu-like illness with fever, chills, diarrhea, and arthralgia had traveled to Cambodia and Khabarovsk, Russia, before the onset of symptoms and illness. He had been bitten by an Ixodes persulcatus tick in which the DNA of Borrelia valaisiana was detected. The patient's symptoms improved rapidly after treatment with minocycline. Serologic examination detected antibodies to Lyme disease Borrelia. An flaB polymerase chain reaction with the patient's plasma amplified a DNA fragment similar to that of B. valaisiana.
authors.affiliation: Department of Cardiovascular Medicine, University of Tokyo Graduate School of Medicine, Hongo 7-3-1, Bunkyo-ku, Tokyo 113-8655, Japan.
authors.forename: Kan
authors.initials: K
authors.lastname: Saito
authors.forename: Takafumi
authors.initials: T
authors.lastname: Ito
authors.forename: Nobuko
authors.initials: N
authors.lastname: Asashima
authors.forename: Minoru
authors.initials: M
authors.lastname: Ohno
authors.forename: Ryozo
authors.initials: R
authors.lastname: Nagai
authors.forename: Hiromi
authors.initials: H
authors.lastname: Fujita
authors.forename: Nobuo
authors.initials: N
authors.lastname: Koizumi
authors.forename: Ai
authors.initials: A
authors.lastname: Takano
authors.forename: Haruo
authors.initials: H
authors.lastname: Watanabe
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kawabata
mesh_terms: D000368:Aged; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D001898:Borrelia / Q000145:classification / Q000235:genetics / Q000276:immunology / Q000302:isolation & purification*; D001899:Borrelia Infections / Q000175:diagnosis / Q000382:microbiology*; D005408:Flagellin / Q000235:genetics; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood / Q000378:metabolism; D018884:Ixodes / Q000145:classification / Q000235:genetics; D007564:Japan; D008297:Male; D008911:Minocycline / Q000008:administration & dosage; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D012689:Sequence Homology, Nucleic Acid; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D007075:Immunoglobulin M; D012336:RNA, Ribosomal, 16S; D005408:Flagellin; C416532:flaB flagellin; D008911:Minocycline