1996
DOI: 10.1001/jama.1996.03530300047039
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Emerging Bacterial Zoonotic and Vector-Borne Diseases

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Cited by 71 publications
(13 citation statements)
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“…Ixodid ticks have been shown to play an essential role in the maintenance of A. phagocytophilum and B. burgdorferi in nature, with I. scapularis being the principal vector of these organisms in the northeastern and upper Midwestern United States (10,23,27). Although I. scapularis is primarily known for its role in transmitting these organisms, the potential for these hard ticks to act as both reservoir and amplifier has been suggested (2,11).…”
Section: Discussionmentioning
confidence: 99%
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“…Ixodid ticks have been shown to play an essential role in the maintenance of A. phagocytophilum and B. burgdorferi in nature, with I. scapularis being the principal vector of these organisms in the northeastern and upper Midwestern United States (10,23,27). Although I. scapularis is primarily known for its role in transmitting these organisms, the potential for these hard ticks to act as both reservoir and amplifier has been suggested (2,11).…”
Section: Discussionmentioning
confidence: 99%
“…These data suggest that deer may be a reservoir for AP-Variant 1 and that ticks may acquire the agent during feeding. Although previous studies have reported that white-tailed deer are a reservoir of the HGE agent, the role of white-tailed deer remains questionable, given that these studies were based on serological and PCR-based assays that did not examine the variable region of the 16S rRNA gene (17,27,28). Additional studies are needed to address the reservoir competency of white-tailed deer for both the HGE agent and AP-Variant 1.…”
Section: Discussionmentioning
confidence: 99%
“…13,14 Deer are not competent hosts for B. burgdorferi but are important in sustaining the life cycle of the vector ticks. In the United States, Lyme disease is transmitted only by Ixodes scapularis ticks (deer ticks) in the eastern and northern midwestern states and by I. pacificus ticks in the western United States.…”
Section: The Clinical Problemmentioning
confidence: 99%
“…They acquire B. burgdorferi by feeding on an infected animal and may transmit the infection to a human during a subsequent blood meal. 13,14 Transmission is most likely during the nymphal stage, since nymphs are abundant in the spring and early summer and are small and difficult to detect. 15 Correspondingly, the peak incidence of erythema migrans is during the spring and summer months.…”
Section: The Clinical Problemmentioning
confidence: 99%
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