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Volume 17, Number 10—October 2011

Research

Humans Infected with Relapsing Fever Spirochete Borrelia miyamotoi, Russia

Alexander E. Platonov, Ludmila S. Karan, Nadezhda M. Kolyasnikova, Natalya A. Makhneva, Marina G. Toporkova, Victor V. Maleev, Durland Fish, and Peter J. KrauseComments to Author 

Author affiliations: Central Research Institute of Epidemiology, Moscow, Russia (A.E. Platonov, L.S. Karan, N.M. Kolyasnikova, V.V. Maleev); Municipal Clinical Hospital No. 33, Yekaterinburg, Russia (N.A. Makhneva, M.G. Toporkova); Yale School of Public Health and Yale School of Medicine, New Haven, Connecticut, USA (D. Fish, P.J. Krause)

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Table 3

Clinical manifestations in patients with Borrelia spp. infection, Yekaterinburg City, Russia, 2009, and northeastern United States, 1991–2008*

Manifestation % Patients
p value
B. miyamotoi, n = 46 B. garinii,
n = 21 B. burgdorferi, n = 92 B. miyamotoi
vs. B. garinii B. miyamotoi vs.
B. burgdorferi B. garinii vs.
B. burgdorferi
Individual
EM 9 91 89 <0.001 <0.001 >0.99
Multiple EM 0 14 7 0.03 0.18 0.36
Fever† 98 67 32 0.001 <0.001 0.005
Fatigue 98 86 74 0.09 <0.001 0.4
Headache 89 57 63 0.007 0.001 0.63
Chills 35 10 43 0.04 0.36 0.005
Myalgia 59 52 63 0.8 0.71 0.46
Arthralgia 28 29 62 >0.99 <0.001 0.007
Nausea 30 10 24 0.07 0.42 0.24
Vomiting 7 5 7 >0.99 >0.99 >0.99
Neck stiffness
2
0
38

>0.99
<0.001
<0.001
Overall
No. symptoms, mean ± SD 4.5 ± 1.4 4.2 ± 2.0 5.0 ± 2.3 0.43 0.13 0.13
No. symptoms (excluding EM
and multiple EM), mean ± SD 4.5 ± 1.4 3.1 ± 1.9 4.1 ± 2.3 0.007 0.46 0.09

*EM, erythema migrans.
†Maximum axillary temperature >37.2°C for patients in Russia and maximum oral temperature >37.7°C for patients in the United States.

*EM, erythema migrans.
†Maximum axillary temperature >37.2°C for patients in Russia and maximum oral temperature >37.7°C for patients in the United States.

*EM, erythema migrans.
†Maximum axillary temperature >37.2°C for patients in Russia and maximum oral temperature >37.7°C for patients in the United States.

*EM, erythema migrans.
†Maximum axillary temperature >37.2°C for patients in Russia and maximum oral temperature >37.7°C for patients in the United States.

*EM, erythema migrans.
†Maximum axillary temperature >37.2°C for patients in Russia and maximum oral temperature >37.7°C for patients in the United States.

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