Biology of Borrelia species.

Relapsing fever was known to the physicians of ancient Greece and possibly to those of an earlier civilization in Egypt (92, 180). Extensive epidemics of louse-borne relapsing fever occurred in the ensuing centuries, including the 20th (55). Like plague and cholera, the disease has affected human societies and events. Lenin is said to have remarked, in reference to the outbreaks of louse-borne typhus and relapsing fever rampant during the Russian Revolution, that "either socialism will defeat the louse or the louse will defeat socialism" (224). In the first half of this century, relapsing fever was of considerable interest to microbiologists, not only because of the continuing morbidity and mortality it was causing, but also because of the recognition by several early immunologists that the antigenic variation of relapsing fever was a useful model for studying the immune system. During World War II and its aftermath there were again the conditions of famine and displaced populations that spawn epidemics of relapsing fever. However, this period also saw the mass production of penicillin and DDT. These technological advances provided both an effective treatment and an effective control measure for the disease. Although louse-borne relapsing fever may be on the upsurge again in famine-struck areas of Africa, it has been comparatively quiescent in the world now for almost 40 years. As a result, the number of scientific articles on relapsing fever and borreliae plunged from 50 or more a year before 1950 to less than 10 a year on average since then. Another consequence of this change in attention has been a great reduction in the number of "borreliologists" in the world. Investigators such as Koch, Leishman, Noguchi, Ehrlich, and Metchnikoff at one time were among that number. It is ironic then that, following the decline in study of this group of bacteria, at least one (and probably two) important diseases should be recognized as being caused by members of the species Borrelia. In addition, it appears that those early immunologists were insightful: the antigenic variation evidenced by the relapsing fever borreliae is of basic biological interest. Because of this renewal of curiosity about borreliae, we have attempted to provide a primer on the

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