Pneumocystis jiroveci Dihydropteroate Synthase Gene Mutations at Codon 171 but Not at Codons 55 or 57 Detected in Germany Sir—After the introduction of HAART and of trimethoprim-sulfamethoxazole (TMP-SMZ) for Pneumocystis pneumonia

NOTE. PR, present report; TMP-SMZ, trimethoprim-sulfamethoxazole. in Missouri and other areas where the disease is not endemic needs review. The national Lyme disease surveillance case definition was developed nearly 10 years ago [3], and a great amount of relevant new scientific evidence regarding Lyme disease and southern tick–associated rash illness has accumulated since that time. The findings of Wormser et al. [6, 9] argue in favor of establishing more rigorous inclusion criteria for patients who present with erythema migrans–like lesions in areas where Lyme disease is not endemic.