Borrelia miyamotoi, a newly identified tick-borne, zoonotic bacterium that has affected an estimated 100,000 people in New York alone since monitoring began, causes symptoms very similar to Lyme disease but is often undiagnosed and untreated, according to physician Brian Fallon of Columbia University. Dr. Fallon said doctors may miss the diagnosis because they aren't aware of the pathogen, or because they mistake the infection for possible Lyme disease, then rule it out when test results are negative. Treatment for Lyme disease also kills Borrelia miyamotoi, according to Dr. Fallon, but treatment must begin right away and be administered correctly, he adds.

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