Lyme and/or Lyme-like disease in Missouri

Mo Med. 1995 Jul;92(7):346-53.


Missouri patients who fulfill the strict CDC surveillance definition for Lyme disease have been reported in significant numbers since 1987, although there are no viable Missouri human cultures of Borrelia burgdorferi. The Missouri erythema migrans rashes are indistinguishable from those in other areas, and the clinical syndrome appears similar to Lyme disease nationally. The authors suspect atypical B. burgdorferi, and/or other Borrelia spirochetes of causing this clinical borreliosis syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Animals
  • Borrelia / classification
  • Borrelia / isolation & purification
  • Borrelia burgdorferi Group / classification
  • Borrelia burgdorferi Group / isolation & purification
  • Centers for Disease Control and Prevention, U.S.
  • Diagnosis, Differential
  • Erythema Chronicum Migrans / epidemiology*
  • Erythema Chronicum Migrans / microbiology
  • Humans
  • Lyme Disease / epidemiology*
  • Lyme Disease / microbiology
  • Male
  • Missouri / epidemiology
  • Ticks / microbiology
  • United States