Lyme Disease Transmitted by a Biting Fly

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Abstract
Lyme disease, first described by Steere et al. in 1977,1 was identified as a disease transmitted by the bite of ixodes ticks.2 Burgdorfer, Barbour, and colleagues then isolated the infectious agent, a spirochete now known as Borrelia burgdorferi.3 The spirochete has been shown to be transmitted by a variety of ixodes ticks, including Ixodes dammini, I. ricinus, I. pacificus, and I. persulcatus.4 B. burgdorferi has been identified in biting flies, and there has been anecdotal mention of possible transmission of B. burgdorferi by such flies.5 , 6 This report describes a case of Lyme disease transmitted by a fly bite.