Article: Lyme disease in urban areas, Chicago.(LETTERS)(Clinical report)

To the Editor: Lyme disease is a multisystem illness caused by infection with the tickborne spirochete Borrelia burgdorferi. Most infections in the United States occur in the Northeast and upper Midwest, and the midwestern focus now includes Illinois (1,2). Previously, the greatest risk of contracting Lyme disease in the Midwest was confined to the northernmost states (Wisconsin and Minnesota) and did not encroach into heavily populated areas around the city of Chicago. However, we showed recently that B. burgdorferi-infected Ixodes scapularis ticks were recovered from sites in Cook and DuPage counties (3), but the percentages of infected ticks were low ([less than or ...

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