Nervous system damage in case of ixodic tick borreliosis
https://doi.org/10.52485/19986173_2021_1_130
Abstract
Ixodidae tick borrelliosis (ITB) or Lyme Disease (LD) - natural focal infectious vector-borne multisystemic disease, caused by Borrelia spirochetes transported by ixodidae ticks. Causative agents of the disease – Borrelia burgdorferi shows tropism to nerve system, dermis, connective tissue structures. As disease patterns of ITB vary, its diagnostic is accompanied by particular difficulties, to this reason ITB is called «the new great imitator». The article describes ITB clinical cases of a young female patient, which has appeared and manifested by multi-level damage of the nerve system. Dominance of neurological symptoms in the disease patterns, without an epidemiological anamnesis, without rashes on the part of the skin, as well as without any disorders from the heart and musculoskeletal system, caused certain difficulties in the diagnosis, and expanded the circle of differential diagnosis.
About the Authors
Yu. A. Shirshov
Chita State Medical Academy
Russian Federation
Russian Federation
39 A Gorkogostr.,Chita, 672090
A.Yu. Ma-Van-de
Chita State Medical Academy
Russian Federation
Russian Federation
39 A Gorkogostr.,Chita, 672090
F. Yu. Belozertsev
Chita State Medical Academy
Russian Federation
Russian Federation
39 A Gorkogostr.,Chita, 672090
References
1. Zavalishin I.A., Spirin N.N., Boyko A.N., Nikitin S.S. Chronic neuroinfections. Moscow, «GEOTAR - Media». 2018.250-251. in Russian.
2. Yushchuk N.D., VengerovYu.Ya. Infectious diseases. Nationalmanual. Moscow, «GEOTAR - Media». 2018.584. in Russian.
3. Rudakova S.A., Penyavskaya N.A., Bloh A.I., Saveliev D.A., Teslova O.E., Kaneshova, N.E., Rudakov N.V., Trankvilevskiy D.V. Epidemiological situation on Ixodidae tick borrelliosis in the Russian Federation in 2019. In comparison with the period 2002-2018. Problems of especially dangerous infections. 2020. 3. in Russian.
4. Data from the Center of Hygiene and Epidemiology in Zabaikalskiikrai.http://cge.megalink.ru/ in Russian.
5. Gusev E.I., Konovalov A.N., Geht A.B.Neurology. National manual. Short edition. Moscow, «GEOTAR - Media ». 2018. 323. in Russian.
6. Lesnyak O.M. Lyme –borrelliosis. Ekaterinburg, 1999. 226. in Russian.
7. Steere A.C. Lyme disease.N Engl J Med. 2001. 345.115-125.
8. Malov I.V., Aitov K.A., Tarbeev A.K. Clinical characteristics of tick borrelliosis. Journal of Infectious Pathology. 2003. 10(4). 10–17. in Russian.
9. Ixodidae tick borrelliosis in childhood and adulthood.Methodical recommendations for doctors. Saint Petersburg, 2010. in Russian.
10. Vorobyova N.N. Clinic, treatment and prevention of tick-borne ixodicborreliosis. Perm, 1998. 132. in Russian.
11. Stanek G., Wormserv G. P., Gray J., Strle F. Lyme borreliosis. Lancet. 2012. 379. 416-473.
12. Rizzoli A., Hauffe H., Carpi G. et al. Lyme borreliosis in Europe. Euro Surveill. 2011. 16. 1-8.
13. Yahno N.N., Zaharov V.V., Lokshina A.B., Koberska N.N., Mhitoryan E.A.Dementia, Moscow, MEDpress-inform, 2010. in Russian.
14. Skripchenko N.V. Selected lectures on infectious and parasitic pathology of childhood. 2013. in Russian.
15. Clinical gudelines. Lyme disease in adulthood. International association of infection specialists. 2016. in Russian.
16. Verbon A. The Health Council of the Netherlands’ advice on Lyme disease. Ned. Tijdschr. Geneeskd. 2013. 157 (29). A6626.
Review
For citations:
Shirshov Yu.A., Ma-Van-de A., Belozertsev F.Yu. Nervous system damage in case of ixodic tick borreliosis. Transbaikalian Medical Bulletin. 2021;(1):130-136. (In Russ.) https://doi.org/10.52485/19986173_2021_1_130
Views:
86
Email this article 