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Borrelia miyamotoi disease (BMD) is a newly recognized borreliosis that is cotransmitted by ticks wherever Lyme disease is zoonotic. UnlikeBorrelia burgdorferi sensu lato , the agent of Lyme disease,B. miyamotoi is closely related to relapsing fever spirochetes, such asBorrelia hermsi i .

Blood Smears Have Poor Sensitivity for Confirming Borrelia miyamotoi Disease