Absence of molecular evidence for Candidatus Neoehrlichia mikurensis presence in symptomatic patients in Poland

Dear Editor,The author contribution Study Design: Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Sławomir Pancewicz Data Collection: Anna Moniuszko-Malinowska, Justyna Dunaj, Piotr Czupryna, Sambor Grygorczuk, Joanna Zajkowska, Martin O. Andersson, Izabela Swiecicka, Justyna Drewnowska, Sławomir Pancewicz Statistical Analysis: N/A Data Interpretation: Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Izabela Swiecicka, Justyna Drewnowska, Sławomir Pancewicz Manuscript Preparation: Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Izabela Swiecicka, Justyna Drewnowska, Piotr Czupryna, Sambor Grygorczuk, Monika Król, Joanna Zajkowska, Sławomir Pancewicz Literature Search: Anna Moniuszko-Malinowska, Justyna Dunaj, Martin O. Andersson, Piotr Czupryna, Monika Król Funds Collection: Anna Moniuszko-Malinowska, Justyna Dunaj Ticks can transmit a wide range of pathogens, such as Borrelia burgdorferi, Anaplasma phagocytophilum, Babesia spp., Coxiella burnetii, tick-borne encephalitis virus and others [1]. The inclusion criteria were: -a history of tick bite within 2 months prior to hospitalization -symptoms suggestive of tick-borne disease, such as fever, headache, nausea/vomiting, myalgia, arthralgia, vertigo, neurological abnormalities, such as cranial and peripheral nerve paresis lasting from 3 days up to one month. Patient 1 Patient 2 Patient 3 Sex, age Male, 46 years old Male, 65 years old Male, 71 years old Tick bite two weeks prior 10 days prior a month prior Symptoms Headache, fever - 38–39 °C, tension in eyeballs, lumbar region pains, general weakness Headache, neck stiffness, fever - 38 °C, joint pain, general weakness Headache, fever - 38 °C Same symptoms two weeks ago Physical examination meningeal signs, fever meningeal signs, fever, impaired joint movements meningeal signs Cerebrospinal fluid normal normal normal CRP (