ABSTRACT
Lyme borreliosis is a multisystem infectious disease that can occur from bites by infected ticks. It can appear at persons exposed professionally for staying in tick feeding environment as well as persons staying in such an environment occasionally. For a few years the Lyme disease is taking the leading place amongst occupational diseases and first amongst infectious occupational diseases. Lyme disease is a major problem especially in wooded areas of Poland however it can occur throughout the country. The variety of clinical and serological pictures is creating everyday diagnostic problems. The aim of this publication is to collect, methodize and remind the medical knowledge about pathogenesis, symptoms, diagnostics, prevention and medical certification of this disease. Disease symptoms were specified to appearing in various organs and systems in order to clarify this difficult to diagnose disease. Diagnostics of Lyme disease was divided into standard and highly specialized, performed in special cases.
Subject(s)
Borrelia burgdorferi Group/isolation & purification , Insect Bites and Stings/diagnosis , Lyme Disease/diagnosis , Occupational Diseases/diagnosis , Occupational Medicine/organization & administration , Animals , Humans , Insect Bites and Stings/epidemiology , Lyme Disease/epidemiology , Occupational Diseases/epidemiology , Occupational Health , Risk Factors , TicksABSTRACT
Recently, infectious diseases have been found to be the most frequent among occupational diseases. Borreliosis, the most common among them, as well as tick-borne encephalitis is transmitted by ticks. Recognition of occupational etiology of such diseases is possible only when the relationship between the infection, occupational exposure and performed work is proved. A case report of a forest worker with borreliosis coexisting with tick-borne encephalitis is presented. Despite nonconcurrent recognition of both diseases it was highly possible that contagion took place at the same time or at a very short time interval. Despite high prevalence of tick-borne diseases, occupational etiology of these two infectious diseases in one patient is very rarely recognized.
Subject(s)
Encephalitis, Tick-Borne/diagnosis , Encephalitis, Tick-Borne/microbiology , Lyme Disease/diagnosis , Lyme Disease/microbiology , Occupational Diseases/diagnosis , Occupational Diseases/microbiology , Animals , Encephalitis, Tick-Borne/complications , Forestry , Humans , Lyme Disease/complications , Male , Middle Aged , Occupational Diseases/complications , TicksABSTRACT
Diagnosis of occupational infectious diseases gives rise to a number of problems in the practice of occupational medicine. Similar symptoms of many infections, including parasitic diseases, can limit the range of applied diagnostic and certification procedures only to diseases induced by pathogenic agents or exposures occurring in the occupational environment. In some cases this makes difficult or even impossible to explain a real cause of patients' complaints. We present a case report on the patient with suspected occupational borreliosis. Due to many diagnostic doubts during hospitalization, including long term presence of some clinical manifestations reported by the patient, which could occur in the course of borreliosis and also suggest earlier infection by trichinae, a wider span of specialist examinations was applied. Finally, the invasion of trichinae was diagnosed and later confirmed by serologic tests.
