The purpose of this study was to evaluate the behaviour of Borrelia bu
rgdorferi under controlled conditions. The occurrence of cystic forms
of Borrelia burgdorferi in vitro was noted, and these cysts were able
to be transformed to normal, mobile spirochetes. B. burgdorferi was cu
ltivated in a commercial culture medium without serum, The spirochetes
multiplied only slowly in this medium, and transformation to encysted
forms was observed after 1 week. When these cysts were transferred to
the same culture medium with rabbit serum, the encysted forms develop
ed into regular, mobile spirochetes after 6 weeks, and their regenerat
ion time was normal. Examination of these cysts in the transmission el
ectron microscope revealed transverse fission inside the cysts. It is
probable that similar phenomena may occur in vivo under conditions unf
avourable for spirochetes. These observations may help to explain why
diagnosis and treatment of B. burgdorferi infections in humans can be
difficult.