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    Is there a Lyme-like disease in Australia? Summary of the findings to date

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    Author
    Chalada, MJ; Stenos, J; Bradbury, RS
    Date
    2016-12-01
    Source Title
    One Health
    Publisher
    ELSEVIER SCIENCE BV
    University of Melbourne Author/s
    Stenos, John
    Affiliation
    Veterinary Biosciences
    Metadata
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    Document Type
    Journal Article
    Citations
    Chalada, M. J., Stenos, J. & Bradbury, R. S. (2016). Is there a Lyme-like disease in Australia? Summary of the findings to date. ONE HEALTH, 2, pp.42-54. https://doi.org/10.1016/j.onehlt.2016.03.003.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/257317
    DOI
    10.1016/j.onehlt.2016.03.003
    Abstract
    Lyme Borreliosis is a common tick-borne disease of the northern hemisphere caused by the spirochaetes of the Borrelia burgdorferi sensu lato (B. burgdorferi s. l.) complex. It results in multi-organ disease with arthritic, cardiac, neurological and dermatological manifestations. In the last twenty-five years there have been over 500 reports of an Australian Lyme-like syndrome in the scientific literature. However, the diagnoses of Lyme Borreliosis made in these cases have been primarily by clinical presentation and laboratory results of tentative reliability and the true cause of these illnesses remains unknown. A number of animals have been introduced to Australia that may act as B. burgdorferi s. l. reservoirs in Lyme-endemic countries, and there are some Australian Ixodes spp. and Haemaphysalis spp. ticks whose geographical distribution matches that of the Australian Lyme-like cases. Four published studies have searched for Borrelia in Australian ticks, with contradicting results. The cause of the potential Lyme-like disease in Australia remains to be defined. The evidence to date as to whether these illnesses are caused by a Borrelia species, another tick borne pathogen or are due to a novel or unrelated aetiology is summarised in this review.

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