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Eikeland R, Henningsson AJ, Lebech AM, Kerlefsen Y, Mavin S, Vrijlandt A, Hovius JW, Lernout T, Lim C, Dobler G, Fingerle V, Gynthersen RM, Lindgren PE, Reiso H. Tick-borne diseases in the North Sea region-A comprehensive overview and recommendations for diagnostics and treatment. Ticks Tick Borne Dis 2024; 15:102306. [PMID: 38183851 DOI: 10.1016/j.ttbdis.2023.102306] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2023] [Revised: 12/20/2023] [Accepted: 12/22/2023] [Indexed: 01/08/2024]
Abstract
As part of the NorthTick project, co-funded by the European Union through the European Regional Development Fund and the North Sea Region Programme, specialists in the field of tick-borne diseases from seven North Sea countries co-operated with patient organisations and governmental health care institutions to provide this comprehensive overview of diagnostics and treatment recommendations in the region for Lyme borreliosis, Borrelia miyamotoi infection, tick-borne encephalitis, human granulocytic anaplasmosis, rickettsiosis, neoehrlichiosis and babesiosis. The main conclusion is that the recommendations in these northern countries are essentially the same, with very few differences. This overview presents the current diagnostics and provides useful clinical guidance.
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Affiliation(s)
- Randi Eikeland
- Norwegian National Advisory Unit on Tick-Borne Diseases, Sørlandet Hospital, Kristiansand, Norway; Faculty of Health and Sport science, University of Agder, Grimstad, Norway.
| | - Anna J Henningsson
- Division of Inflammation and Infection, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden; National Reference Laboratory for Borreliosis and Other Tick-Borne Bacteria, Clinical Microbiology, Laboratory Medicine, Region Jönköping County, Sweden
| | - Anne-Mette Lebech
- Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Denmark
| | - Yvonne Kerlefsen
- Norwegian National Advisory Unit on Tick-Borne Diseases, Sørlandet Hospital, Kristiansand, Norway
| | - Sally Mavin
- Scottish Lyme Disease and Tick-borne Infections Reference Laboratory, Raigmore Hospital, Inverness, UK
| | - Amber Vrijlandt
- Amsterdam UMC, location AMC, Department of Internal Medicine, Section of Infectious Diseases, Amsterdam UMC Multidisciplinary Lyme borreliosis Center, Amsterdam, The Netherlands
| | - Joppe W Hovius
- Amsterdam UMC, location AMC, Department of Internal Medicine, Section of Infectious Diseases, Amsterdam UMC Multidisciplinary Lyme borreliosis Center, Amsterdam, The Netherlands
| | - Tinne Lernout
- Sciensano Epidemiology of infectious diseases, Brussels, Belgium
| | - Chin Lim
- Scottish Lyme Disease and Tick-borne Infections Reference Laboratory, Raigmore Hospital, Inverness, UK
| | - Gerhard Dobler
- Nationales Konsiliarlabor FSME, Institut für Mikrobiologie der Bundeswehr, Munich, Germany
| | - Volker Fingerle
- German National Reference Center for Borreliae, Bavarian Health and Food Safety Authority, Oberschleißheim, Germany
| | - Rosa M Gynthersen
- Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Denmark
| | | | - Harald Reiso
- Norwegian National Advisory Unit on Tick-Borne Diseases, Sørlandet Hospital, Kristiansand, Norway
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Shan J, Jia Y, Mijatovic T. Use of Specific Borrelia Phages as a New Strategy for Improved Diagnostic Tests. Methods Mol Biol 2024; 2742:99-104. [PMID: 38165618 DOI: 10.1007/978-1-0716-3561-2_8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2024]
Abstract
The high failure rate of tick-borne infection (TBI)-related testing underscores the need for novel approaches that do not rely on serology and two-tier testing. Delayed diagnosis of TBIs, especially Borrelia infections, results in high healthcare costs and great suffering. There is a significant need for a reliable blood test that can aid in the diagnosis of Lyme disease, particularly when the current FDA-approved serological test is not sensitive enough to detect early Lyme patients who have not yet produced antibodies against Borrelia. Bacteriophages are viruses that specifically associate with their bacterial hosts, particularly prophages, bacteriophages residing in bacteria, and have proven to be tightly correlated with their bacterial hosts. They are poised to have wider applications as markers to detect bacteria, particularly in infectious disease. The gene of choice depends on the prevalence of phages within a particular group of bacteria. Phage genes that have been used as molecular markers to examine phage diversity include structural genes encoding the major capsid protein, the portal protein, the DNA polymerase, and the terminase. Borrelia species carry specific phage sequences that can be used as a proxy to identify the bacteria. Using phages as a proxy for bacteria is beneficial, as phages can be detected more easily than bacteria and can be used to bypass the cryptic and tissue-bound feature that typifies human Borrelia infections.We explored a completely new way of detecting Borrelia using Borrelia-specific bacteriophages as a diagnostic tool. Our detection method, patented by Phelix R&D and Leicester University (WO2018083491A1), could potentially transform infectious disease diagnostics through the innovative use of real-time PCR to target circulating bacteriophage DNA in blood from patients with Lyme disease. Firstly, this bacteriophage-based approach offers increased sensitivity since bacteriophages are typically present in five- to tenfold excess over bacterial cells, making it more accurate and sensitive than conventional bacteria-targeting PCR tests. One of the reasons bacteria-based PCR tests are frequently negative is due to the low bacterial concentration in the blood. Bacteriophage-based PCR surpasses this barrier and offers a direct test, as phages are part of bacteria's own genetic material, in contrast to all existing indirect tests (ELISA, Western BLOT, LTT/ELISPOT test). Secondly, a phage-based test can differentiate between different Lyme disease-causing and relapsing fever-causing Borrelia subtypes (B. burgdorferi s. l., B. miyamotoi, etc.), given that bacteriophages are indicators of bacterial identity. Finally, this test can detect Lyme disease in both early and late stages.
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Affiliation(s)
- Jinyu Shan
- Department of Genetics and Genome Biology, University of Leicester, Leicester, UK.
| | - Ying Jia
- Department of Genetics and Genome Biology, University of Leicester, Leicester, UK
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Plahe G, Hall JL, Johnson D, Gilbert L, Birtles RJ. Borrelia bavariensis in Questing Ixodes ricinus Ticks, United Kingdom. Emerg Infect Dis 2023; 29:2173-2175. [PMID: 37735806 PMCID: PMC10521598 DOI: 10.3201/eid2910.230907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/23/2023] Open
Abstract
We detected Borrelia bavariensis in Ixodes ricinus ticks collected near 2 towns in the United Kingdom. Human B. bavariensis infections have not been reported previously in the country, underscoring the value of tick surveillance to warn of emerging human disease. B. bavariensis should be considered in patients with suspected neuroborreliosis.
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Shwartz D, Nachum-Biala Y, Oren S, Aharoni K, Edery N, Moss L, King R, Lapid R, Straubinger RK, Baneth G. Borrelia persica infection in wild carnivores in Israel: molecular characterization and new potential reservoirs. Parasit Vectors 2023; 16:337. [PMID: 37752595 PMCID: PMC10523677 DOI: 10.1186/s13071-023-05953-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 08/28/2023] [Indexed: 09/28/2023] Open
Abstract
BACKGROUND Borrelia persica causes tick-borne relapsing fever in Israel, the eastern Mediterranean basin, and Asia. Relapsing fever is associated with severe illness and potentially death in humans and animals. Since B. persica infection has rarely been described in wild animals, the aim of this study was to evaluate the prevalence of infection with B. persica in wild carnivores in Israel. METHODS Spleen and blood clot samples from wild carnivores, which underwent necropsy, were tested for the presence of Borrelia DNA by real-time polymerase chain reaction (PCR). PCR products were sequenced, and the spirochete loads were quantified using a specific quantitative PCR (qPCR). RESULTS A total of 140 samples from 74 wild carnivores were analyzed for the presence of Borrelia DNA. Six out of the 74 (8.1%) animals were found positive for B. persica by PCR and sequencing of the flagellin B gene, of which 4/74 (5.4%) were also positive by PCR for the glycerophosphodiester phosphodiesterase (glpQ) gene. Positive samples were obtained from three European badgers, and one striped hyena, golden jackal, and red fox each. All B. persica-positive animals were young males (P < 0.0001). Quantifiable results were obtained from 3/5 spleen and 4/5 blood samples. The spirochete loads in the blood were significantly higher than those found in the spleen (P = 0.034). CONCLUSIONS The prevalence of B. persica infection found in wild carnivores brought for necropsy was unexpectedly high, suggesting that this infection is widespread in some wild animal species in Israel. This is the first report of B. persica infection in the European badger and striped hyena. These carnivores have a wide geographical range of activity, and the results of this survey raise the possibility that they may serve as reservoir hosts for B. persica.
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Affiliation(s)
- Dor Shwartz
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, 7610001, Rehovot, Israel
| | - Yaarit Nachum-Biala
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, 7610001, Rehovot, Israel
| | - Stephanie Oren
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, 7610001, Rehovot, Israel
- Pathology Department, Kimron Veterinary Institute, Rishon Lezion, Israel
| | - Kobi Aharoni
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, 7610001, Rehovot, Israel
- Pathology Department, Kimron Veterinary Institute, Rishon Lezion, Israel
| | - Nir Edery
- Pathology Department, Kimron Veterinary Institute, Rishon Lezion, Israel
| | - Lior Moss
- Pathology Department, Kimron Veterinary Institute, Rishon Lezion, Israel
| | - Roni King
- Israeli National Parks and Nature Reserves, Jerusalem, Israel
| | - Roi Lapid
- Israeli National Parks and Nature Reserves, Jerusalem, Israel
| | - Reinhard K Straubinger
- Bacteriology and Mycology, Institute for Infectious Diseases and Zoonoses, Ludwig-Maximilians-Universität München, Oberschleißheim, Germany
| | - Gad Baneth
- Koret School of Veterinary Medicine, Hebrew University of Jerusalem, P.O. Box 12, 7610001, Rehovot, Israel.
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Ganbold D, Uudus B, Nyamdavaa N, Chultemsuren Y, Zagd A, Tangad M, Bayarmaa A, Lkunrev R, Baasandagva U, Nyamdorj T, Narankhajid M. Seroprevalence and risk factors of Borrelia burgdorferi sensu lato and Rickettsia species infection in humans in Mongolia, 2016-2020. PLoS One 2023; 18:e0289274. [PMID: 37552652 PMCID: PMC10409273 DOI: 10.1371/journal.pone.0289274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 07/15/2023] [Indexed: 08/10/2023] Open
Abstract
Borrelia burgdorferi sensu lato and Rickettsia spp. are worldwide causes of tick-borne infections. We aimed to estimate the seroprevalence of immunoglobulin G (IgG) antibodies against different tick-borne diseases (TBDs) and determine risk factors among Mongolians from 2016 to 2020. Blood samples were obtained from voluntary participants with a history of suspected tick bite who visited our hospital, and IgG antibodies against Rickettsia and Borrelia were detected using enzyme-linked immunosorbent assay (ELISA). The IgG antibody seropositivity rate against Rickettsia was 21.8% (1032/4724), while 3.4% (162/4724) of participants tested positive for serum IgG antibodies against Borrelia by ELISA.Binary logistic regression analysis was performed to evaluate risk factors for tick-borne rickettsiosis (TBR) and tick-borne borreliosis (TBB) using IgG serum sample. Age, occupation, and residence were significantly associated with these diseases; however, sex did not show any significant association. Seroprevalence was significantly higher among herders (40.6%, 95% confidence interval [CI]: 35.5-45.8; odds ratio [OR] 0.61; P < 0.001) and students (32.8%, 95% CI: 30.2-35.4; OR 0.75; P < 0.001) than among individuals with other occupations. The 25-29 age group had a slightly higher seroprevalence (35.1%, 95% CI: 28.1-42.6; OR 0.61; P < 0.006) than those in other age groups. Province was a stronger predictor of TBR than occupation and age group. In univariate subgroup analysis by age group, occupation, and residence were significantly associated with TBR seroprevalence, whereas age and province were associated with TBB seroprevalence. Thus, risk factors for TBD include residence, occupation, and age group. This study was conducted using samples from all Mongolian provinces and the capital city, and the risk factors and prevalence of Rickettsia and Borreliaare highlighted.
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Affiliation(s)
- Dashdavaa Ganbold
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Bayarsaikhan Uudus
- Department of Biology, School of Sciences and Art Science, National University of Mongolia, Ulaanbaatar, Mongolia
| | | | - Yeruult Chultemsuren
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Amarbayasgalan Zagd
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Mungunzaya Tangad
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | - Agarzandan Bayarmaa
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
| | | | | | | | - Myadagsuren Narankhajid
- Department of Biology, School of Biomedicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia
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Nilsson K, Skoog E, Edvinsson M, Mårtensson A, Olsen B. Protein biomarker profiles in serum and CSF in 158 patients with PTLDS or persistent symptoms after presumed tick-bite exposure compared to those in patients with confirmed acute neuroborreliosis. PLoS One 2022; 17:e0276407. [PMID: 36327322 PMCID: PMC9632922 DOI: 10.1371/journal.pone.0276407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2022] [Accepted: 10/05/2022] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Current diagnostics for patients with lingering symptoms categorized as post-treatment Lyme disease syndrome (PTLDS) have their limitations and may be difficult to interpret. The aim of this exploratory study was to evaluate the feasibility of protein biomarker profiling as a diagnostic platform for this category of patients and to compare these results with similarly obtained results from a group of patients with acute neuroborreliosis. METHODS AND FINDINGS Two groups of patient cohorts (Cohort 1 and 2) were analyzed for biomarkers in serum and cerebrospinal fluid (CSF); the results were used for group-level comparison. Cohort 1 comprised 158 adult patients selected from 224 previously diagnosed patients, who between October 2015 and December 2018, after referral, were enrolled and structurally investigated based on defined inclusion criteria. They displayed similar lingering symptoms, with a duration of at least 6 months, after presumed previous tick-borne infection (TBI) and are fully described in a previously published study originating from the Center for Vector-borne Infections (CVI), Uppsala University Hospital, Sweden. Cohort 2, comprised 30 patients diagnosed at Uppsala University Hospital between 2016 and 2019 with laboratory-confirmed acute neuroborreliosis. Their proteomic results, based on serum and CSF analyses, were compared with the 158 patients in Cohort 1. The expression and the concentration of potential biomarkers in each patient's serum and CSF samples were measured based on two multiplex protein panels enabling simultaneous analysis of 92 inflammatory and neurology biomarkers. The PTLDS patient subgroup showed no nominally significant proteins compared to the other CVI patients in Cohort 1. However, CVI patients with signs of inflammation, which were evenly distributed in Cohort 1, showed 16 significantly (p <0.05) different proteins in both CSF and serum, but no association was seen with laboratory-confirmed exposure to Borrelia spp or other TBIs. When comparing the two cohorts, different protein profiles were observed, with 125/148 significantly different proteins in CSF and 93/174 in serum, in patients with laboratory confirmed acute neuroborreliosis, of which 6 in CSF and 6 in serum were significant at the p <0.001 level. CONCLUSIONS In this first comprehensive inflammatory and neurological biomarker profile study no differences in biomarker profiles were detected between patients with PTLDS and patients with similar persisting symptoms but who did not meet the PTLDS criteria, regardless of whether laboratory verified previous exposure to Borrelia or other TBI's were present. However, the expressed markers differed from those found in patients with confirmed acute neuroborreliosis, which does not support the view that PTLDS reflects an ongoing Borrelia infection. Further studies are needed to understand and assess the usefulness of biosignatures of patients with PTLDS before they can be applied in a clinical setting.
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Affiliation(s)
- Kenneth Nilsson
- Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden
- Department of Medical Sciences, Section of Clinical Microbiology, Uppsala University, Uppsala, Sweden
| | - Elisabet Skoog
- Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden
| | - Marie Edvinsson
- Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden
| | - Andreas Mårtensson
- Department of Women’s and Children’s Health, International Maternal and Child Health, Uppsala University, Uppsala, Sweden
| | - Björn Olsen
- Department of Medical Sciences, Section of Infectious Diseases, Uppsala University, Uppsala, Sweden
- Department of Medical Sciences, Zoonosis Science Centre, Uppsala University, Uppsala, Sweden
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Georgiades P, Ezhova E, Räty M, Orlov D, Kulmala M, Lelieveld J, Malkhazova S, Erguler K, Petäjä T. The impact of climatic factors on tick-related hospital visits and borreliosis incidence rates in European Russia. PLoS One 2022; 17:e0269846. [PMID: 35857740 PMCID: PMC9299338 DOI: 10.1371/journal.pone.0269846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 05/27/2022] [Indexed: 11/18/2022] Open
Abstract
Tick-borne diseases are among the challenges associated with warming climate. Many studies predict, and already note, expansion of ticks’ habitats to the north, bringing previously non-endemic diseases, such as borreliosis and encephalitis, to the new areas. In addition, higher temperatures accelerate phases of ticks’ development in areas where ticks have established populations. Earlier works have shown that meteorological parameters, such as temperature and humidity influence ticks’ survival and define their areas of habitat. Here, we study the link between climatic parameters and tick-related hospital visits as well as borreliosis incidence rates focusing on European Russia. We have used yearly incidence rates of borreliosis spanning a period of 20 years (1997-2016) and weekly tick-related hospital visits spanning two years (2018-2019). We identify regions in Russia characterized by similar dynamics of incidence rates and dominating tick species. For each cluster, we find a set of climatic parameters that are significantly correlated with the incidence rates, though a linear regression approach using exclusively climatic parameters to incidence prediction was less than 50% effective. On a weekly timescale, we find correlations of different climatic parameters with hospital visits. Finally, we trained two long short-term memory neural network models to project the tick-related hospital visits until the end of the century, under the RCP8.5 climate scenario, and present our findings in the evolution of the tick season length for different regions in Russia. Our results show that the regions with an expected increase in both tick season length and borreliosis incidence rates are located in the southern forested areas of European Russia. Oppositely, our projections suggest no prolongation of the tick season length in the northern areas with already established tick population.
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Affiliation(s)
- Pantelis Georgiades
- Environmental Predictions Department, Climate and Atmosphere Research Centre, The Cyprus Institute, Nicosia, Cyprus
| | - Ekaterina Ezhova
- Institute for Atmospheric and Earth System Research (INAR), Faculty of Science, University of Helsinki, Helsinki, Finland
| | - Meri Räty
- Institute for Atmospheric and Earth System Research (INAR), Faculty of Science, University of Helsinki, Helsinki, Finland
| | - Dmitry Orlov
- Department of Biogeography, Faculty of Geography, Lomonosov Moscow State University, Moscow, Russia
| | - Markku Kulmala
- Institute for Atmospheric and Earth System Research (INAR), Faculty of Science, University of Helsinki, Helsinki, Finland
| | - Jos Lelieveld
- Environmental Predictions Department, Climate and Atmosphere Research Centre, The Cyprus Institute, Nicosia, Cyprus
- Max Planck Institute for Chemistry, Mainz, Germany
| | - Svetlana Malkhazova
- Department of Biogeography, Faculty of Geography, Lomonosov Moscow State University, Moscow, Russia
| | - Kamil Erguler
- Environmental Predictions Department, Climate and Atmosphere Research Centre, The Cyprus Institute, Nicosia, Cyprus
| | - Tuukka Petäjä
- Institute for Atmospheric and Earth System Research (INAR), Faculty of Science, University of Helsinki, Helsinki, Finland
- * E-mail:
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van Duijvendijk G, Krijger I, van Schaijk M, Fonville M, Gort G, Sprong H, Takken W. Seasonal dynamics of tick burden and associated Borrelia burgdorferi s.l. and Borrelia miyamotoi infections in rodents in a Dutch forest ecosystem. Exp Appl Acarol 2022; 87:235-251. [PMID: 35840866 PMCID: PMC9424142 DOI: 10.1007/s10493-022-00720-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 05/11/2022] [Indexed: 05/25/2023]
Abstract
Ixodes ricinus ticks transmit Borrelia burgdorferi sensu lato (s.l.) as well as Borrelia miyamotoi. Larvae become infected when feeding on infected rodents, with horizontal transmission of B. burgdorferi and horizontal and vertical transmission of B. miyamotoi. We studied seasonal dynamics of infection rates of I. ricinus and their rodent hosts, and hence transmission risk of these two distinctly different Borrelia species. Rodents were live-trapped and inspected for ticks from May to November in 2013 and 2014 in a forest in The Netherlands. Trapped rodents were temporarily housed in the laboratory and detached ticks were collected. Borrelia infections were determined from the trapped rodents and collected ticks. Borrelia burgdorferi s.l. and B. miyamotoi were found in ticks as well as in rodents. Rodent density was higher in 2014, whereas tick burden as well as the Borrelia infection rates in rodents were higher in 2013. The density of B. miyamotoi-infected nymphs did not differ between the years. Tick burdens were higher on Apodemus sylvaticus than on Myodes glareolus, and higher on males than on females. Borrelia-infection rate of rodents varied strongly seasonally, peaking in summer. As the larval tick burden also peaked in summer, the generation of infected nymphs was highest in summer. We conclude that the heterogeneity of environmental and host-specific factors affects the seasonal transmission of Borrelia spp., and that these effects act more strongly on horizontally transmitted B. burgdorferi spp. than on the vertically transmitted B. miyamotoi.
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Affiliation(s)
- Gilian van Duijvendijk
- Laboratory of Entomology, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands
- Wageningen Environmental Research, Wageningen University and Research, PO box 47, 6700 AA, Wageningen, The Netherlands
| | - Inge Krijger
- Laboratory of Entomology, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands
- Stichting Kennis- en Adviescentrum Dierplagen (KAD), Nudepark 145, 6702 DZ, Wageningen, The Netherlands
| | - Marloes van Schaijk
- Laboratory of Entomology, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands
- Koppert Biological Systems, Industrieweg 14, 2651 BE, Berkel en Rodenrijs, The Netherlands
| | - Manoj Fonville
- Laboratory for Zoonosis and Environmental Microbiology, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands
| | - Gerrit Gort
- Mathematical and Statistical Methods, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands
| | - Hein Sprong
- Laboratory of Entomology, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands
- Laboratory for Zoonosis and Environmental Microbiology, National Institute for Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands
| | - Willem Takken
- Laboratory of Entomology, Wageningen University, PO box 16, 6700 AA, Wageningen, The Netherlands.
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Qin Y, Wang Y. Penicillin in Borrelia burgdorferi-negative Primary Cutaneous Marginal Zone Lymphoma: A Case Series and Literature Review. Acta Derm Venereol 2022; 102:adv00668. [PMID: 35191509 PMCID: PMC9558749 DOI: 10.2340/actadv.v102.198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Yao Qin
- Peking University First Hospital.
| | - Yang Wang
- Department of Dermatology and Venerology, Peking University First Hospital, Beijing 100034, China.
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Lehenmeier A, Oberst G, G. Heckmann J. Paresis of the Diaphragm in Neuroborreliosis. Dtsch Arztebl Int 2021; 118:816. [PMID: 35191374 PMCID: PMC8884065 DOI: 10.3238/arztebl.m2021.0088] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Affiliation(s)
- Andreas Lehenmeier
- *Klinik für diagnostische und interventionelle Radiologie, Klinikum Landshut
| | - Gerhard Oberst
- *Klinik für diagnostische und interventionelle Radiologie, Klinikum Landshut
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Nourkami-Tutdibi N, Meyer S, Yilmaz U. Neuroborreliosis as a Rare Cause of Myelitis in Childhood. Dtsch Arztebl Int 2019; 116:412. [PMID: 31366433 PMCID: PMC6683439 DOI: 10.3238/arztebl.2019.0412a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Affiliation(s)
| | - Sascha Meyer
- *Universitätsklinikum des Saarlandes, Klinik für Allgemeine Pädiatrie und Neonatologie, Homburg,
| | - Umut Yilmaz
- **Universitätsklinikum des Saarlandes, Abteilung für Neuroradiologie, Homburg
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Shimizu H, Haratani K, Miyazaki M, Kakehi Y, Nagami S, Katanami Y, Kawabata H, Takahashi N. [A case of hemifacial paresis in a patient with Lyme neuroborreliosis treated with antibiotics in whom Borrelia meningitis developed]. Rinsho Shinkeigaku 2016; 56:495-498. [PMID: 27356734 DOI: 10.5692/clinicalneurol.cn-000880] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A 38-year-old man visited our hospital because of hemifacial paresis that developed 2 months after being bit by a tick. We diagnosed idiopathic peripheral facial palsy and gave the patient oral prednisolone and valacyclovir. Although the symptoms completely resolved in about 2 weeks, there was a risk of Lyme neuroborreliosis. The patient therefore received doxycycline (100 mg twice daily) and amoxicillin (1,000 mg 3 times daily) for 14 days. Two months later, he had symptoms of meningitis such as headache and fever accompanied by lymphocytic cerebrospinal fluid pleocytosis. Viral meningitis was diagnosed and treated with parenteral acyclovir. The symptoms of meningitis improved. Tests for serum IgG antibodies against borrelia were positive. We gave the patient a diagnosis of Lyme neuroborreliosis. The patient received intravenous ceftriaxone and had no relapse. It is a rare for meningitis to develop in a patient with cranial neuropathy who received doxycycline. Lyme neuroborreliosis is a rare disease in Japan. Care should therefore be exercised in the diagnosis of Lyme neuroborreliosis and evaluation of the response to treatment.
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13
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Silva L, Sampaio L, Pinto J, Ventura FS. [Arthritis and clinical history]. ACTA MEDICA PORT 2011; 24:629-632. [PMID: 22521022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2010] [Accepted: 06/06/2010] [Indexed: 05/31/2023]
Abstract
In front of a patient with arthritis, clinical good-sense tells that the most probable diagnosis are the most prevalent ones. Nevertheless, we have to exclude a multiplicity of other aetiologies, less frequent, but with highest implications in the therapeutic conduct. Infections by Brucella and by Borrelia are rare causes of chronic arthritis, yet are diagnosis to consider, even when the clinical manifestations aren't the most typical, as there still exist endemic areas in Portugal. Here we report two clinical cases about patients with arthritis for more than one year, subject to ineffective exams ant treatments. Only the clinical history could put on evidence clinical-epidemiological data, suggestive of Brucellosis and Lyme Disease, namely the professional contact with infected animals, and the history of probable erythema migrans, that pointed toward the correct diagnosis. So, with directed therapeutic, there was complete resolution of the inflammatory symptoms.
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Affiliation(s)
- Lígia Silva
- Serviços de Reumatologia do Hospital de São João e da Faculdade de Medicina da Universidade do Porto, Portugal
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14
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Ushakov AV, Stepanova TF, Peklo GN. [Ecological bases of the combination of natural foci of leptospirosis, tick-borne encephalitis, and ixodes tick-borne borrelioses in the ecosystems of a northern forest-steppe subzone in the Tyumen region]. Med Parazitol (Mosk) 2007:12-7. [PMID: 17657949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/16/2023]
Abstract
In the context of the present-day teaching of parasitocenoses and the proposition that the pathogen's population is the only compulsory and specific component of a natural focus, the authors bring to light the ecological bases of the combination of natural foci of leptospirosis and tick-borne encephalitis, leptospirosis and Ixodes tick-borne borrelioses. These foci are one-host population-combined. While analyzing the combination of the foci, it is expedient to consider in pairs since this provides a way of identifying the combination bases that are unique to these foci and determining the level, pattern, type, and degree of the combination of foci and, on their basis, the type of a combined focus. By determining the confined pattern of foci of leptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses to the same elements of a landscape, the morphological structure of the northern forest-steppe landscape of the Tyumen Region predetermines their relationship, by acting as the abiotic basis of the combination of foci. Despite the differences in the types of the parasitic systems and the absence of the same mechanism of transmission of causative agents, the natural foci of leptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses are, nevertheless, combined at the level of parasitocenosis of the co-acting populations of pathogenic organisms and their reservoir hosts act as the biotic bases of the combination of foci of leptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses. The susceptibility of Cl. rutilus and S. araneus to infection with the pathogens ofleptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses and multihost pattern of the causative agents act as the epizootic bases of a combination of the foci of leptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses. It has been shown that the biotic, epizootic, and abiotic bases of a combination of the natural foci of leptospirosis, tick-borne encephalitis, and Ixodes tick-borne borrelioses of the Javanica serogroup are, in the aggregate, the ecological bases of the combination of these foci.
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15
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Brehmer-Andersson E, Hovmark A, Asbrink E. Acrodermatitis chronica atrophicans: histopathologic findings and clinical correlations in 111 cases. Acta Derm Venereol 1998; 78:207-13. [PMID: 9602229 DOI: 10.1080/000155598441558] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023] Open
Abstract
We studied 111 consecutive, untreated and serologically confirmed patients with acrodermatitis chronica atrophicans. Emphasis was on the histopathologic patterns of erythematous and fibrous lesions, and on an assay used to correlate histopathologic findings with such clinical features as fibrous nodules, ulnar bands and the pain reaction allodynia. There was a significant correlation between allodynia and signs of marked inflammation, but not between allodynia and neural and perineural cell infiltrates or fibrosis. Moreover, there was no significant correlation between serum IgG titers to Borrelia and the density of inflammatory cell infiltrates or the proportion of plasma cells in tissue. Histopathologic examination did not reveal any important differences between fibrous nodules, ulnar bands and sclerodermatous lesions. The histopathologic pattern is not diagnostic per se, but characteristic enough to alert the experienced pathologist.
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Abstract
Hanson, Albert W. (Communicable Disease Center, Atlanta, Ga.), and George R. Cannefax. Isolation of Borrelia refringens in pure culture from patients with condylomata acuminata. J. Bacteriol. 88:111-113. 1964.-Borrelia refringens was isolated from five of ten clinical specimens by use of a modification of the Noguchi technique. An enriched anaerobic medium is described for the cultivation of B. refringens with retention of morphological characteristics.
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18
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Miyazaki K, Iijima M, Takeuchi M, Uchiyama S, Iwata M. [A case of neuroborreliosis with unilateral radiculoneuropathy and elevated serum antibodies for Borrelia garinii and Borrelia afzelii]. Rinsho Shinkeigaku 1996; 36:1155-60. [PMID: 8997140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
A 24-year-old male patient was admitted to our hospital because of dysesthesia and weakness of the right leg. Six weeks before admission he traveled to southern China. A week later he noticed multiple papules with itching on his right leg that were suspected to be insect bites. Four days later numbness of the right leg developed. Then he began to limp because of the leg weakness. Two weeks before admission severe pain in the right leg developed. On admission neurological examination revealed hypesthesia, muscle weakness and atrophy, areflexia, radicular pain and Lasègue sign of the right leg, and patchy hypesthesia of the left leg. The cranial nerves were intact, and meningeal signs were negative. Complete blood counts and serum biochemistry were unremarkable except for eosinophilia and mild elevation of IgE. A test for antinuclear antibody was positive. Cerebrospinal fluid was normal. Nerve conduction study and sural nerve biopsy showed multifocal severe axonopathy. Although antibody for Borrelia burgdorferi sensu stricto was negative, antibodies for B. garinii and for B. afzelii were positive in serum immunoblotting. Neurological symptoms improved after administration of intravenous ceftriaxon following oral doxycycline. In Japan, this is the second case of neuroborreliosis not due to B. burgdorferi sensu stricto. To test antibodies for B.garinii and for B. afzelii is recommended in patients with suspected neuroborreliosis.
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Affiliation(s)
- K Miyazaki
- Department of Neurology, Tokyo Women's Medical College
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19
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Affiliation(s)
- D W Giang
- Department of Neurology, University of Rochester Medical Center, New York, USA
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20
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Liu HG. [Spirochetes in the cheilits granulomatosa and sarcoidosis]. Zhonghua Yi Xue Za Zhi 1993; 73:142-4, 189-90. [PMID: 8391908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Homogenate of seven cases of cheilits granulomatosa (CG), one case of Melkersson-Rosenthal syndrome (MRS) and one case of sarcoidosis (Sar) were found to have Borrelia underdark field microscope. CG culture of lip tissue of 2 cases showed Borrelia. Detection of anti-Borrelia Burgdorferi (BB)-antibody in serum showed that 8 (82%) of 11 cases of CG were positive, 3 (75%) of 4 cases of MRS and one case of Sar were positive. Histopathological changes in all cases were consistent with the pathological changes caused by spirochetes infection. The results confirmed that there is Borrelia in CG, MRS and Sar, which are spirochetes infected diseases.
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Affiliation(s)
- H G Liu
- Department of Pathology, School of Stomatology, Beijing Medical University
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21
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Lupoli S, Cutler SJ, Stephens CO, Wright DJ, Black CM. Lyme disease and localized scleroderma--no evidence for a common aetiology. Br J Rheumatol 1991; 30:154-6. [PMID: 2012951 DOI: 10.1093/rheumatology/30.2.154] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
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22
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Affiliation(s)
- S E Katz
- Dermatology Division, Albert Einstein College of Medicine, Bronx, NY 10461
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23
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Schwan TG, MacDonald AB. Interstitial cystitis and Borrelia burgdorferi. Ann Intern Med 1989; 111:537. [PMID: 2774376 DOI: 10.7326/0003-4819-111-6-537_1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
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24
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Winward KE, Smith JL. Ocular disease in Caribbean patients with serologic evidence of Lyme borreliosis. J Clin Neuroophthalmol 1989; 9:65-70. [PMID: 2526160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Four patients from Caribbean and Central American countries with ocular disease and serologic evidence of Lyme borreliosis are discussed. To our knowledge this is the first report of Lyme disease from this geographic area. Two patients exhibited ocular inflammatory disease, and two patients developed optic neuropathy. A brief discussion of Lyme borreliosis, its serologic diagnosis, and its treatment is presented.
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Affiliation(s)
- K E Winward
- Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33101
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25
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Reimers CD, Pongratz DE, Neubert U, Pilz A, Hübner G, Naegele M, Wilske B, Duray PH, de Koning J. Myositis caused by Borrelia burgdorferi: report of four cases. J Neurol Sci 1989; 91:215-26. [PMID: 2746290 DOI: 10.1016/0022-510x(89)90089-0] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Myositis was proven histopathologically in 4 patients (age range 36-66 years) who suffered from early or late stages of Borrelia burgdorferi infection. Muscle weakness was present in 3 patients, 1 complaining of additional myalgias. One man came to medical attention because of skin discoloration and swelling of one leg. Deep biopsy from skin, fascia and muscle revealed acrodermatitis chronica atrophicans, panniculitis, fasciitis, and myositis, respectively. Creatine kinase was slightly elevated in 3 cases and normal in one. Infiltrates were found in the perimysium and within the muscle bundles, mainly around small vessels. The infiltrates consisted of many B cells and T4 lymphocytes with fewer cytotoxic T cells, suggesting that Borrelia myositis might be due to a local immune response to unknown Borrelia antigens. Cultivation of Borrelia from muscle was not successful. Antibiotic therapy cured the myositis.
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Affiliation(s)
- C D Reimers
- Friedrich Baur Institute, Clinic for Internal Medicine Innenstadt, F.R.G
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26
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Gómez Beldarrain M, Forcadas Berdusan I, Pérez Irezábal J, Zarranz Imirizaldu JJ. [Meningoradiculitis caused by Borrelia burgdorferi]. Rev Clin Esp 1989; 184:269-70. [PMID: 2772302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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27
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Pizzarello LD, MacDonald AB, Semlear R, DiLeo F, Berger B. Temporal arteritis associated with Borrelia infection. A case report. J Clin Neuroophthalmol 1989; 9:3-6. [PMID: 2522942 DOI: 10.3109/01658108909019502] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
A 71-year-old man had sudden vision loss associated with headache. A temporal artery biopsy revealed a typical picture of giant cell arteritis. Subsequent steroid therapy failed to restore sight. A later blood culture contained spirochetes compatible with Borrelia species, and a silver stain of the temporal artery biopsy specimen demonstrated a similar spirochete. Treatment with i.v. ceftriaxone sodium led to some limited return of sight. To our knowledge, this is the first case report of a spirochete compatible with Borrelia found in a temporal artery biopsy specimen.
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28
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Lavoie PE. Lyme borreliosis: discovery of the causative agent. Arch Neurol 1989; 46:125. [PMID: 2916950 DOI: 10.1001/archneur.1989.00520380025007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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29
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Abstract
Four female patients with Sudeck's atrophy (SA) were evaluated at our department. Sera of all patients were investigated for antibodies against Borrelia burgdorferi. In all patients elevated IgG antibody titers and in one patient also elevated IgM titer were found. In one patient structures identical with B. burgdorferi could be detected on histological sections from the skin of the affected limb. Our data and those of other authors suggest that a spirochetal infection can be regarded as an important etiopathogenetic factor in the development of SA.
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Affiliation(s)
- R A Neumann
- Department of Dermatology II, University of Vienna, Austria
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30
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31
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Affiliation(s)
- E Asbrink
- Department of Dermatology, Karolinska Institute, Södersjukhuset, Stockholm, Sweden
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32
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Bouman T, Kuiper JP. [Report of a rare flat hemangioma]. Phlebologie 1988; 41:69-70. [PMID: 2841699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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33
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Baumhackl U, Kristoferitsch W, Sluga E, Stanek G. Neurological manifestations of Borrelia burgdorferi-infections: the enlarging clinical spectrum. Zentralbl Bakteriol Mikrobiol Hyg A 1987; 263:334-6. [PMID: 3591084 DOI: 10.1016/s0176-6724(87)80087-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
We report on the clinical symptoms of 50 patients with serologically proven B. burgdorferi infection in stage 2 Lyme disease. Besides the typical pattern of the GBB-syndrom myelitis, encephalitis, cranial nerve neuritis others than Bell's palsy, painful neuritis without CSF-pleocytosis and meningitis without other neurological findings were observed.
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35
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Asbrink E, Hovmark A, Olsson I. Clinical manifestations of acrodermatitis chronica atrophicans in 50 Swedish patients. Zentralbl Bakteriol Mikrobiol Hyg A 1986; 263:253-61. [PMID: 3577484 DOI: 10.1016/s0176-6724(86)80128-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A study was made of 50 consecutive patients with untreated acrodermatitis chronica atrophicans (ACA). In all patients elevated anti-spirochetal antibody titers were found at indirect immunofluorescence and enzyme-linked immunosorbent assays, and histologically biopsies exhibited a dermal lymphocytic infiltrate with a moderate to rich admixture of plasma cells and telangiectases. Nine patients had a history consistent with spontaneously healing erythema chronicum migrans Afzelius (ECMA) on the extremity on which, after 0.5-8 years, ACA lesions developed. Eight patients had a history indicating previous cranial nerve involvement and nine had had periods of severe pains in the cervical or lumbar region. Two patients had developed ECMA, facial palsy and ACA in chronological order. In 15 patients radiographic abnormalities of joints and/or bone tissue were found. Besides ACA lesions, lichen sclerosus et atrophicus- or scleroderma-like lesions were found in six patients. The inflammatory ACA lesions were sometimes discrete and had been overlooked. Joint deformities, sclerotic lesions, diffuse edema or pain were the cardinal symptoms in some patients. The findings indicate that clinical recognition of ACA may be difficult and that a combination of clinical, histopathologic and serologic findings may be necessary to establish the diagnosis. The results are consistent with the concept that ACA is a late manifestation of infection by the same spirochete as causes ECMA and Bannwarth's syndrome.
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36
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Abstract
104 patients with erythema migrans disease (EMD), 7 patients with borrelia lymphocytoma (BL), and 21 patients with acrodermatitis chronica atrophicans (ACA) were prospectively followed for a median of 20, 14, and 12 months, respectively. 99 patients with EMD and 6 with BL were treated with antibiotics early for their illness. 72 patients with EMD had 1 to 10 constitutional symptoms besides the erythema migrans, 32 had erythema migrans alone, and a child with BL had urticaria. Out of 39 patients with EMD, 23 acquired arthralgia, 18 signs and symptoms consistent with neurologic manifestations and 8 with cardiac involvement before or after therapy. 4 patients with EMD and 1 with BL had up to 10 multiple erythema migrans lesions. 3 patients with EMD experienced a reinfection and 1 with ACA a relapse. Several patients with ACA developed signs and symptoms consistent with neurologic, cardiac and joint involvement, and 2 had a history of EMD. Elevated antibody titers against Borrelia burgdorferi were present in 48% of 69 patients with EMD, 5 with BL and 11 with ACA, and in 93% of another group with EMD, 2 with BL and 10 with ACA, when tested against other borreliae. Increased values of the ESR, IgG, IgA and IgM were found in more patients with ACA than with EMD. The median of IgA and IgM was significantly higher in ACA than in EMD. Borreliae were found in brain and liver of a newborn. Early EMD appears to be quite similar to early Lyme disease.
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37
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Asbrink E, Olsson I, Hovmark A. Erythema chronicum migrans Afzelius in Sweden. A study on 231 patients. Zentralbl Bakteriol Mikrobiol Hyg A 1986; 263:229-36. [PMID: 3577482 DOI: 10.1016/s0176-6724(86)80126-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
In order to describe the clinical manifestations of erythema chronicum migrans Afzelius (ECMA) in Sweden and to compare them with those in Lyme disease in the United States, 231 patients with ECMA were investigated. Although there are many similarities between the two disorders the findings also point to differences. The skin lesions were of longer duration (median 5-6 weeks) than those in Lyme disease but less often multiple (8%). General symptoms were found in about half of the patients with a short disease duration (less than or equal to 3 weeks), but were usually mild. Laboratory abnormalities were noted in only a minority of the cases. At the time of diagnosis none of the patients had spirochete-induced arthritis, but in three of them cardiac involvement was suspected. Among 16 untreated patients meningitis later developed in two patients and arthritis in one. Diagnostic procedures such as serologic testing and cultivation of spirochetes are discussed.
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Chernyshova TF, Favorova LA. [Passages of B. sogdianum on the model newborn rabbit--body louse. VI]. Med Parazitol (Mosk) 1971; 40:216-20. [PMID: 5568409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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40
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Vérin P. [Infectious pathology]. Arch Ophtalmol Rev Gen Ophtalmol 1971; 31:71-109. [PMID: 4251237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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41
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Morel PC, Fauran P. [Presence in Guadeloupe of the ornithodore Alectorobius puertoricensis (Fox, 1947) (Acariens, Ixodoidea)]. Acarologia 1967; 9:338-340. [PMID: 5628794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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42
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43
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Rafyi A, Stiller D, Maghami G. Some observations on Ornithodoros parkeri from Monterey County and its associated borrelia infection. Bull Soc Pathol Exot Filiales 1965; 58:1157-69. [PMID: 5899729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/17/2023]
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44
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GEIGY R, AESCHLIMANN A. [COMPARATIVE STUDY OF THE BIOLOGY OF BORRELIA DUTTONI AND BORRELIA TILLAE]. REV SUISSE ZOOL 1965; 72:87-98. [PMID: 14281696] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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45
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GROSS WM, BALL MR. USE OF FLUORESCEIN-LABELED ANTIBODY TO STUDY BORRELIA ANSERINA INFECTION (AVIAN SPIROCHETOSIS) IN THE CHICKEN. Am J Vet Res 1964; 25:1734-9. [PMID: 14227179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
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46
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47
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LAPIERRE J, GALLIARD H, ROUSETT JJ. [STUDY OF THE PROTECTIVE ACTION OF BORRELIA IN EXPERIMENTAL TRYPANOSOMA INFECTIONS IN MICE. VARIATION OF THE PROTECTIVE EFFECTS AS A FUNCTION OF THE ORIGIN OF THE STRAINS]. C R Seances Soc Biol Fil 1964; 158:1047-50. [PMID: 14243847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/26/2023]
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48
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GEIGY R, AESCHLIMANN A. [LONG-TERM OBSERVATIONS ON THE TRANSOVARIAN TRANSMISSION OF BORRELIA DUTTONI BY ORNITHODORUS MOUBATA]. Acta Trop 1964; 21:87-91. [PMID: 14141443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
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49
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BAIRAMOVA RA. [EXPERIMENT ON THE INFECTION OF CHICK EMBRYOS BY TICK-BORNE SPIROCHAETA BY MEANS OF FEEDING INFECTED ORNITHODORUS TICKS ON THEM]. Zh Mikrobiol Epidemiol Immunobiol 1963; 40:83-4. [PMID: 14120294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
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50
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WESTPHAL A. [NEW STUDIES ON THE PROBLEM OF THE GRANULAR STAGES OF BORRELIA IN BLOOD]. Arch Hyg Bakteriol 1963; 147:349-57. [PMID: 14057672] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/25/2023]
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