Lyme Disease

Kenneth B. Liegner; Marvin J. Bittner; Frank J. Sorvillo; Bernard Nahlen; Allen C. Steere

doi:10.1056/NEJM199002153220714

Lyme Disease

Kenneth B. Liegner, Marvin J. Bittner, Frank J. Sorvillo, Bernard Nahlen, Allen C. Steere

Research output: Contribution to journal › Letter

2 Scopus citations

Abstract

To the Editor: Dr. Steere briefly addresses the important question of prophylactic antibiotic therapy for deer-tick bites in his superb review of Lyme disease (Aug. 31 issue).¹ Others have offered the opinion that only attachments by engorged deer ticks warrant treatment.² Although it is believed that Borrelia burgdorferi is transmitted mainly in the later stages of tick feeding,³ ⁴ ⁵ the earlier transmission of small numbers of the organism has not been ruled out. Ribeiro et al.³ were unable to procure sufficient saliva for examination before three days of attachment, after which spirochetes were seen. We do not know the minimal inoculum.

Original language	English (US)
Pages (from-to)	474-475
Number of pages	2
Journal	New England Journal of Medicine
Volume	322
Issue number	7
DOIs	https://doi.org/10.1056/NEJM199002153220714
State	Published - Feb 15 1990
Externally published	Yes

All Science Journal Classification (ASJC) codes

Medicine(all)

Access to Document

10.1056/NEJM199002153220714

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Liegner, K. B., Bittner, M. J., Sorvillo, F. J., Nahlen, B., & Steere, A. C. (1990). Lyme Disease. New England Journal of Medicine, 322(7), 474-475. https://doi.org/10.1056/NEJM199002153220714

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T1 - Lyme Disease

AU - Liegner, Kenneth B.

AU - Bittner, Marvin J.

AU - Sorvillo, Frank J.

AU - Nahlen, Bernard

AU - Steere, Allen C.

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Y1 - 1990/2/15

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