Tick-borne relapsing fever is part of the larger Borrelia story, and that matters for Morgellons disease. Most people who hear the word Borrelia think of Lyme disease, but Lyme disease is only one part of the picture. Research by Marianne Middelveen, Raphael Stricker, and colleagues raises an important question: what if the spirochetal discussion around Morgellons is bigger than classic Lyme disease alone?
This article is not saying every person with Morgellons has tick-borne relapsing fever. It is not saying every skin lesion, fiber, or chronic symptom comes from one infection. It is also not saying Bartonella is a proven tick-borne co-infection. The point is more careful: Morgellons research has reported evidence involving both Lyme-group Borrelia and relapsing-fever Borrelia, while newer Bartonella evidence shows why patients should be cautious about repeating unsupported tick-borne claims.
