Purpose of Study: Recent reports indicate that more than 300,000 cases of Lyme disease are diagnosed yearly in the USA. Previous epidemiological and immunological studies suggest that infection with the Lyme disease spirochete Borrelia burgdorferi could be transferred from person to person via intimate human contact without a tick vector (Harvey and Salvato, Med Hypotheses 2003;60:742; Stricker et al, J Investig Med 2004;52:S151). Detecting viable spirochetes in vaginal and seminal secretions would provide additional evidence to support this hypothesis..
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