All Posts Tagged With: "Lyme borreliosis"

Full article: http://content.karger.com/produktedb/produkte.asp?typ=fulltext&file=000209229

Excerpt:

Lyme serology was positive for both IgG and IgM (ELISA, Enzygnost
Borreliosis , Siemens, Dade Behring, Germany, and blot,
Euroline WB , Euroimmun, Germany). A punch biopsy of a papule showed a dermal perifollicular ( fig. 2 ) – and occasionnally perineural – infiltrate of lymphocytes and plasma cells, consistent with a borrelial infection. Borrelia burgdorferi DNA was amplified from fresh tissue obtained from a skin biopsy performed on a peripilar papule, using a specific real-time PCR according to Mäkinen et al. [1] (culture not performed). The erythema resolved after a 3-week doxycycline treatment whereas arthralgia and dysesthesia persisted.

Excerpt:

Borrelia burgdorferi sensu lato is the causative agent
of Lyme borreliosis in humans. This inflammatory disease can
affect the skin, the peripheral and central nervous system, the
musculoskeletal and cardiovascular system and rarely the eyes.
Early stages are directly associated with viable bacteria at the
site of inflammation. The pathogen-host interaction is complex
and has been elucidated only in part. B. burgdorferi is highly
susceptible to antibiotic treatment and the majority of patients
profit from this treatment

 The Lyme borreliosis agent Borrelia burgdorferi and the relapsing fever group
species Borrelia miyamotoi co-occur in the United States. We used
species-specific, quantitative polymerase chain reaction to study both species
in the blood and skin of Peromyscus leucopus mice and host-seeking Ixodes
scapularis nymphs at a Connecticut site. Bacteremias with B. burgdorferi or B.
miyamotoi were most prevalent during periods of greatest activity for nymphs or
larvae, respectively. Continued

Among the various species of hard ticks, Ixodes ricinus is the most frequently found tick throughout Europe. As with other ixodid ticks, the developmental cycle runs through three stages. In each stage a blood meal is required in order to develop to the next stage. Ixodes ricinus has been found to feed on more than 300 different vertebrate species. Usually, larval ticks feed on small mammals such as mice and become infected with various microorganisms and viruses, of which some are substantial pathogens to humans. The pathogens remain in the tick during molting and are thus transstadially transmitted to the next developmental stage. Pathogens transmitted to humans are the agents of Lyme borreliosis, the tick-borne encephalitis virus, Rickettsia species, Anaplasma phagocytophilum, occasionally Francisella tularensis, and protozoal Babesia species. Within the scope of an EU project Ixodes ricinus ticks from all federal states of Austria were searched by means of PCR methods for bacterial pathogens such as Anaplasma phagocytophilum, Borrelia burgdorferi sensu lato, Coxiella burnetii, Ehrlichia spp., Francisella tularensis, Rickettsia spp., and protozoal Babesia. Additionally, the prevalence of Bartonella spp. in this tick species was also determined. Besides the singular detection of Coxiella burnetii and Francisella tularensis in one tick collection site the overall prevalence of Anaplasma phagocytophilum, borreliae, rickettsae and babesiae in Ixodes ricinus amounted to 15%, 14%, 6% and surprising 36% and 51%, respectively. Bartonellae were detected in about 7%. Continued

Background.Standard 2‐tiered immunoglobulin G (IgG) testing has performed well in late Lyme disease (LD), but IgM testing early in the illness has been problematic. IgG VlsE antibody testing, by itself, improves early sensitivity, but may lower specificity. We studied whether elements of the 2 approaches could be combined to produce a second‐tier IgG blot that performs well throughout the infection. Continued

BACKGROUND: There is disagreement regarding whether Lyme borreliosis is associated with adverse pregnancy outcome.

METHODS: We performed a review of the data from 95 women with Lyme borreliosis during pregnancy, evaluated at the Center for Tick-borne Diseases, Budapest over the past 22 years.

RESULTS: Treatment was administered parenterally to 66 (69.5%) women and orally to 19 (20%). Infection remained untreated in 10 (10.5%) pregnancies. Continued

History

A 68 year old female presented to an urgent care center complaining of three weeks of intermittent low grade temperature accompanied by chills, diffuse myalgias, arthralgias and rash. The patient and her husband, a retired pathologist, noted that the rash started on her right thigh, was initially quarter-sized and bright red with an even distribution that lasted for about one week and then seemed to expand and ultimately fade with the red remaining only at the border. Continued

[Originally posted to FACT forum on Tue Jun 24, 2008 12:15 pm]

What should you focus on to help the most patients? Putting good things in, or getting bad things out, or killing some of the infections we all have? The answer is beginning to be clear; it is NOT EITHER/ OR but EVERYTHING!

The front cover of Time June 6 2008 has a picture of a baby and the key article is The Truth About Vaccines. For once it admits there is a problem and that many are going to opt out of vaccinating their children. There are other useful comments in their article but I draw your attention to their conclusion that GENETICS and ENVIROMENTAL exposures must be behind the increase in AUTISM. Continued