Publication details
Klinické projevy lymeské borreliózy u dětí
| Title in English | Clinical Manifestations of Lyme Borreliosis in Children |
|---|---|
| Authors | |
| Year of publication | 2010 |
| Type | Article in Periodical |
| Magazine / Source | Čes.-slov.Pediatrie |
| MU Faculty or unit | |
| Citation | |
| Field | Epidemiology, infectious diseases and clinical immunology |
| Keywords | erythema migrans borrelial lymphocytoma neuroborreliosis lyme arthritis |
| Description | Skin manifestations of LB in children include erythema migrans, borrelial lymphocytoma and erythema migrans multiple. B. afzelii is the most diagnosed causative genospecies in dermatoborreliosis. 76 % of children remember a tick-bite in the past. EMM is defined as the presence of minimum 2 or more skin lesions, at least one of which must fulfil the criteria for solitary EM. Borrelial lymphocytoma is typical in children, frequently located on the ear lobe, areola mammae, nipple or scrotum. BL appears later and is of longer duration than EM. Early disseminated neuroborreliosis typically comprises lymphocytic meningitis and/or involvement of cranial and peripheral nerves, caused mostly by neurotropic genospecies B. garinii in Europe. Children with borrelial meningoneuritis suffer from mild headache, mildly expressed or no meningeal signs, but surprisingly abnormal CSF findings. Unilateral or bilateral peripheral paresis n. facialis can be involved. In children, Lyme arthritis is less seen in Europe than skin or neurologic manifestations. The kneee is typically involved and is associated with B. burgdorferi sensu stricto infection. |