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Journal of Clinical Microbiology, March 1998, p. 807-808, Vol. 36, No. 3
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Lyme Disease in Taiwan: First Human Patient with Characteristic Erythema Chronicum Migrans Skin Lesion

Chien-Ming Shih,1,* Jin-Choung Wang,2 Li-Lian Chao,1 and Trong-Neng Wu3

Department of Parasitology and Tropical Medicine, National Defense Medical Center,1 Dr. Wang's Private Clinic,2 and National Quarantine Service, Department of Health, The Executive Yuan,3 Taipei, Taiwan, Republic of China

Received 28 July 1997/Returned for modification 10 October 1997/Accepted 2 December 1997

We report herein the first laboratory-diagnosed case of Lyme disease in a human in Taiwan. A 45-year-old Taiwanese man living in Taipei, in northern Taiwan, had an expanding skin lesion (measuring 23 by 15 cm) on his abdomen for 2 to 3 weeks and recurrent attacks of pain and swelling of the knee joint. Serologic tests indicated a significantly elevated titer of antibody to Borrelia burgdorferi. After appropriate antibiotic treatment for 3 weeks, the skin lesion was cured and the joint swelling was improved. Although several strains of Borrelia spirochetes had been isolated from rodents (Rattus losea) in Taiwan, the tick vector responsible for the transmission remains to be identified.

* Corresponding author. Mailing address: Department of Parasitology and Tropical Medicine, National Defense Medical Center, P. O. Box 90048-506, Taipei, Taiwan, Republic of China. Phone: 886-2-368-4513. Fax: 886-2-368-4341.

Journal of Clinical Microbiology, March 1998, p. 807-808, Vol. 36, No. 3
0095-1137/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.


This article has been cited by other articles:

  • Chao, L.-L., Wu, W.-J., Shih, C.-M. (2009). First Detection and Molecular Identification of Borrelia burgdorferi-like Spirochetes in Ixodes granulatus Ticks Collected on Kinmen Island of Taiwan. Am J Trop Med Hyg 80: 389-394 [Abstract] [Full Text]  
  • Hsieh, Y.-F., Liu, H.-W., Hsu, T.-C., Wei, J. C.-C., Shih, C.-M., Krause, P. J., Tsay, G. J. (2007). Serum Reactivity against Borrelia burgdorferi OspA in Patients with Rheumatoid Arthritis. CVI 14: 1437-1441 [Abstract] [Full Text]  
  • SHIH, C.-M., CHAO, L.-L. (2002). Genetic analysis of the outer surface protein C gene of Lyme disease spirochaetes (Borrelia burgdorferi sensu lato) isolated from rodents in Taiwan. J Med Microbiol 51: 318-325 [Abstract] [Full Text]  
  • Shih, C.-M., Chang, H.-M., Chen, S.-L., Chao, L.-L. (1998). Genospecies Identification and Characterization of Lyme Disease Spirochetes of Genospecies Borrelia burgdorferi Sensu Lato Isolated from Rodents in Taiwan. J. Clin. Microbiol. 36: 3127-3132 [Abstract] [Full Text]  


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