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Borrelia spielmanii erythema migrans, Hungary.

Földvári G, Farkas R, Lakos A - Emerging Infect. Dis. (2005)

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At least 5 species of the Borrelia burgdorferi sensu lato complex, B. burgdorferi sensu stricto, B. afzelii, B. garinii, B. bissettii, and B. lusitaniae, have a pathogenic role in human Lyme disease in central Europe... The patient whose culture showed B. spielmanii was a 42-year-old woman with a homogenous erythema migrans, diagnosed on September 24, 1999... The immunoglobulin M (IgM) and IgG Borrelia immunoblot that applied B. afzelii (ACA1) antigen was negative in serum drawn on the seventh day after the appearance of erythema migrans... The patient did not remember a tick bite and had not traveled abroad during the previous 6 months... She complained of an "extremely unusual," intense, serous nasal discharge that started 3 weeks before the appearance of erythema migrans and of a moderate headache; both disappeared spontaneously 2 weeks before treatment... Our results show at least 3 distinct species of B. burgdorferi sensu lato in Hungary... In addition to B. burgdorferi sensu stricto and B. afzelii, known throughout Europe, we detected the recently described species B. spielmanii among randomly selected samples... Together with 2 previous publications, our observation also suggest that B. spielmanii has a pathogenic role in human Lyme disease... Although B. spielmanii is distributed more focally than other species of the B. burgdorferi sensu lato complex, it occurs from the Netherlands through Germany and Czech Republic to Hungary.

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Erythema migrans caused by Borrelia spielmanii.
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Figure 1: Erythema migrans caused by Borrelia spielmanii.

Mentions: The patient whose culture showed B. spielmanii was a 42-year-old woman with a homogenous erythema migrans, diagnosed on September 24, 1999. The erythema was 10 cm in diameter on the front surface of the knee at the first visit (Figure). The immunoglobulin M (IgM) and IgG Borrelia immunoblot that applied B. afzelii (ACA1) antigen was negative in serum drawn on the seventh day after the appearance of erythema migrans. The patient did not remember a tick bite and had not traveled abroad during the previous 6 months. She complained of an "extremely unusual," intense, serous nasal discharge that started 3 weeks before the appearance of erythema migrans and of a moderate headache; both disappeared spontaneously 2 weeks before treatment.


Borrelia spielmanii erythema migrans, Hungary.

Földvári G, Farkas R, Lakos A - Emerging Infect. Dis. (2005)

Erythema migrans caused by Borrelia spielmanii.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3367353&req=5

Figure 1: Erythema migrans caused by Borrelia spielmanii.
Mentions: The patient whose culture showed B. spielmanii was a 42-year-old woman with a homogenous erythema migrans, diagnosed on September 24, 1999. The erythema was 10 cm in diameter on the front surface of the knee at the first visit (Figure). The immunoglobulin M (IgM) and IgG Borrelia immunoblot that applied B. afzelii (ACA1) antigen was negative in serum drawn on the seventh day after the appearance of erythema migrans. The patient did not remember a tick bite and had not traveled abroad during the previous 6 months. She complained of an "extremely unusual," intense, serous nasal discharge that started 3 weeks before the appearance of erythema migrans and of a moderate headache; both disappeared spontaneously 2 weeks before treatment.

View Article: PubMed Central - PubMed

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

At least 5 species of the Borrelia burgdorferi sensu lato complex, B. burgdorferi sensu stricto, B. afzelii, B. garinii, B. bissettii, and B. lusitaniae, have a pathogenic role in human Lyme disease in central Europe... The patient whose culture showed B. spielmanii was a 42-year-old woman with a homogenous erythema migrans, diagnosed on September 24, 1999... The immunoglobulin M (IgM) and IgG Borrelia immunoblot that applied B. afzelii (ACA1) antigen was negative in serum drawn on the seventh day after the appearance of erythema migrans... The patient did not remember a tick bite and had not traveled abroad during the previous 6 months... She complained of an "extremely unusual," intense, serous nasal discharge that started 3 weeks before the appearance of erythema migrans and of a moderate headache; both disappeared spontaneously 2 weeks before treatment... Our results show at least 3 distinct species of B. burgdorferi sensu lato in Hungary... In addition to B. burgdorferi sensu stricto and B. afzelii, known throughout Europe, we detected the recently described species B. spielmanii among randomly selected samples... Together with 2 previous publications, our observation also suggest that B. spielmanii has a pathogenic role in human Lyme disease... Although B. spielmanii is distributed more focally than other species of the B. burgdorferi sensu lato complex, it occurs from the Netherlands through Germany and Czech Republic to Hungary.

Show MeSH
Related in: MedlinePlus