Borrelia miyamotoi disease is a hard tick-borne relapsing fever illness that occurs across the temperate climate zone. Human B. miyamotoi disease in immunocompetent patients has been described in Russia, North America, and Japan. We describe a case of B. miyamotoi disease in an immunocompetent patient in western Europe.
Keywords: Borrelia infections; Borrelia miyamotoi; Europe; bacteria; relapsing fever; serology; the Netherlands; tickborne diseases; vector-borne infections.