Serologically diagnosed Lyme disease manifesting erythema migrans in Korea

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.

Doença de Lyme: acometimento cutâneo e tratamento das fases iniciais / Lyme diseases: cutaneous involvement and initial phases treatment

A doença de Lyme é uma moléstia infecto-contagiosa transmitida por carrapatos contaminados pela Borrelia burgodorferi. Caracteriza-se por acometer a pele, coraçäo, articulaçöes e sistema nervos central e periférico. No Brasil ainda näo se descreveu um caso com devida confirmaçäo laboratorial. Os autores apresentam um caso com diagnóstico clínico e sorológico em que o principal acometimento foi o cutâneo. Com este achado, discutem as formas de acometimento cutâneo da doença, bem como o tratamento das formas iniciais