“…Falsenegative PCR results could reflect sampling variability among tissues with sparse spirochetal distribution or the presence of B burgdorferi strains with heterologous OspA sequences. 36,43 Isolation of B burgdorferi from ticks and mammals in the southeastern United States has been documented recently. 41,46 To date, more than 200 isolates have been obtained from ticks, birds, and mammals in this region ( J.H.O., unpublished data, August 1998).…”