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Microbiology · Bacteriology: Borrelia
Sample itemA trekker in a temperate region develops an expanding annular rash with central clearing after a tick bite. Which organism is responsible?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Borrelia burgdorferi
Erythema migrans after an Ixodes tick bite is the classic sign of Lyme disease caused by B. burgdorferi. B. recurrentis causes louse-borne relapsing fever, R. conorii causes a spotted fever with eschar, and Leptospira follows water contact.
Option by option
A. Rickettsia conorii
R. conorii causes a maculopapular rash with an eschar.
B. Borrelia recurrentis
B. recurrentis is louse-borne and gives relapsing fever.
C. Borrelia burgdorferi (correct)
Correct. Erythema migrans after a tick bite is Lyme disease.
D. Leptospira interrogans
Leptospira is acquired from water contaminated by animal urine.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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