Lyme and/or Lyme-like disease in Missouri
Masters, E.J.; Donnell, H.D.
Missouri Medicine 92(7): 346-353
1995
ISSN/ISBN: 0026-6620 PMID: 7651314 Document Number: 440082
Patients in Missouri, USA, who fulfil the strict Centers for Disease Control and Prevention (CDC) surveillance definition for Lyme disease have been reported in significant numbers since 1989, 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. Atypical B. burgdorferi and/or other Borrelia spirochaetes are suspected of causing this clinical borreliosis syndrome.