Subject(s)
Humans , Female , Adult , Lyme Disease/pathology , Skin Diseases, Bacterial/pathology , Borrelia burgdorferi , Tick Bites/pathology , Communicable Diseases, Imported/pathology , Biopsy , Brazil/ethnology , Lyme Disease/drug therapy , Treatment Outcome , Skin Diseases, Bacterial/drug therapy , Dermis/pathology , Erythema/microbiology , Erythema/pathology , Tick Bites/drug therapy , Communicable Diseases, Imported/drug therapy , GermanyABSTRACT
Arthritis is a most common manifestation of lyme disease, which is caused by Borrelia burgdorferi. The birds may be carriers of disease-carrying ticks from Asia to Iran. The aim of this study was to evaluate frequency of lyme arthritis in patients with unknown subacute arthritis. This cross-sectional study was evaluated 180 patients with unknown subacute arthritis. Patients were asked about age, sex, foreign travel history, jungle travel history, animal contact, tick bites. Then, IgG, IgM Ab ELISA test were done. In patient with positive IgG or IgM ELISA test, Western Blot test was done. SPSS was used to analyze data. 20 [11.9%] patients had positive ELISA serologic test, in which 12[60%] had IgM Ab, 5 [25%] IgG Ab and 3 [15%] both IgM Ab and IgG Ab. Western Blot was positive in 2[1.1%] and equivocal in 5[2.8%] patients. The results of this study showed that lyme disease should be considered in each patient with unknown subacute arthritis in Iran
Subject(s)
Humans , Arthritis/etiology , Lyme Disease/pathology , Lyme Disease/epidemiologyABSTRACT
La enfermedad de Lyme es causada por la bacteria Borrelia burgdorferi. Ciertas garrapatas son portadoras de esas bacterias y las adquieren cuando pican a ratones o venados infectados con la enfermedad. Actualmente se ha informado de casos en la mayor parte de los Estados Unidos. A continuación se presenta el caso de un paciente con enfermedad de Lyme inmunológicamente confirmado con IgM positiva contra Borrelia burgdorferi, con eritema característico en escarapela que cubre el hombro izquierdo.
Subject(s)
Male , Adult , Lyme Disease/diagnosis , Lyme Disease/pathology , Lyme Disease/drug therapy , Borrelia burgdorferi , IxodesABSTRACT
El ECM, es una enfermedad infecto-contagiosa transmitida por la picada de garrapatas ixodideos contaminadas por espiroquetas llamada Borrelia burgdoferi. La distribucion geografica de esta enfermedad es universal. Con casos relatados en Sudamerica y muchos menos en Bolivia. Esta enfermedad se caracteriza por comprometer la piel en su forma inicial y posteriormente el corazon, articulaciones, sistema nervioso central y periferico
Subject(s)
Humans , Erythema/diagnosis , Lyme Disease/pathology , Antifungal Agents/administration & dosage , Borrelia Infections/transmissionABSTRACT
Lyme disease is a vector-borne infection, primarily transmitted by Ixodes ticks, and caused by Borrelia burgdorferi. It has a wide distribution in the northern hemisphere. In Korea, however, only one human case has been reported, although B. burgdorferi was isolated from the vector tick I. persulcatus in the region. A 60-year-old male and a 45-year-old female developed the clinical sign of erythema migrans. Each patients were bitten by a tick four weeks and five weeks, respectively, before entering the hospital. On serologic examination, significantly increased IgM and IgG antibody titers to B. burgdorferi were observed in consecutive tests performed at an interval of two weeks. They responded well to treatment with tetracycline.