Borrelia miyamotoi Disease in the Northeastern United States: A Case Series

Background: The first recognized cases of Borrelia miyamotoi disease (BMD) in North America were reported in the northeastern United States in 2013.

Objective: To further describe the clinical spectrum and laboratory findings for BMD.

Design: Case series.

Setting: Patients presenting to primary care offices, emergency departments, or urgent care clinics in 2013 and 2014.

Participants: Acutely febrile patients from the northeastern United States in whom the treating health care providers suspected and ordered testing for tick-transmitted infections.

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