Volume 21, Number 6—June 2015
Dispatch
Oligoarthritis Caused by Borrelia bavariensis, Austria, 2014
Figure
![Comparison of frequency of clinical manifestations in Lyme borreliosis cases between the United States and 2 countries in Europe. Data from the United States are based on 154,405 patients identified during 2001–2010 by Centers for Disease Control and Prevention surveillance (1). Cases in Europe are represented by data from southern Sweden (1,471 patients, 1992–1993) (2) and Slovenia (1,471 patients, 2000) (3). The category Lyme neuroborreliosis includes all neurologic manifestations, such as rad](/eid/images/14-1516-F1.jpg)
Figure. Comparison of frequency of clinical manifestations in Lyme borreliosis cases between the United States and 2 countries in Europe. Data from the United States are based on 154,405 patients identified during 2001–2010 by Centers for Disease Control and Prevention surveillance (1). Cases in Europe are represented by data from southern Sweden (1,471 patients, 1992–1993) (2) and Slovenia (1,020 patients, 2000) (3). The category Lyme neuroborreliosis includes all neurologic manifestations, such as radiculoneuropathy, facial palsy, and meningitis or encephalitis. Some patients had >1 manifestation.
References
- Centers for Disease Control and Prevention. Clinical manifestations of confirmed Lyme disease cases—United States, 2001–2010 [cited 2014 Dec 11]. http://www.cdc.gov/lyme/stats/chartstables/casesbysymptom.html
- Berglund J, Eitrem R, Ornstein K, Lindberg A, Ringér A, Elmrud H, An epidemiologic study of Lyme disease in southern Sweden. N Engl J Med. 1995;333:1319–27. DOIPubMedGoogle Scholar
- Strle F, Stanek G. Clinical manifestations and diagnosis of lyme borreliosis. Curr Probl Dermatol. 2009;37:51–110.PubMedGoogle Scholar
- Stanek G, Wormser GP, Gray J, Strle F. Lyme borreliosis. Lancet. 2012;379:461–73. DOIPubMedGoogle Scholar
- Huppertz HI, Michels H. Pattern of joint involvement in children with Lyme arthritis. Br J Rheumatol. 1996;35:1016–8. DOIPubMedGoogle Scholar
- Tsao JI, Wootton JT, Bunikis J, Luna MG, Fish D, Barbour AG. An ecological approach to preventing human infection: vaccinating wild mouse reservoirs intervenes in the Lyme disease cycle. Proc Natl Acad Sci U S A. 2004;101:18159–64. DOIPubMedGoogle Scholar
- Leschnik MW, Khanakah G, Duscher G, Wille-Piazzai W, Hörweg C, Joachim A, Species, developmental stage and infection with microbial pathogens of engorged ticks removed from dogs and questing ticks. Med Vet Entomol. 2012;26:440–6. DOIPubMedGoogle Scholar
- Wilhelmsson P, Fryland L, Börjesson S, Nordgren J, Bergström S, Ernerudh J, Prevalence and diversity of Borrelia species in ticks that have bitten humans in Sweden. J Clin Microbiol. 2010;48:4169–76. DOIPubMedGoogle Scholar
- Margos G, Vollmer SA, Cornet M, Garnier M, Fingerle V, Wilske B, A new Borrelia species defined by multilocus sequence analysis of housekeeping genes. Appl Environ Microbiol. 2009;75:5410–6. DOIPubMedGoogle Scholar
- Michel H, Wilske B, Hettche G, Göttner G, Heimerl C, Reischl U, An ospA-polymerase chain reaction/restriction fragment length polymorphism-based method for sensitive detection and reliable differentiation of all European Borrelia burgdorferi sensu lato species and OspA types. Med Microbiol Immunol. 2004;193:219–26. DOIPubMedGoogle Scholar
- Eiffert H, Karsten A, Thomssen R, Christen HJ. Characterization of Borrelia burgdorferi strains in Lyme arthritis. Scand J Infect Dis. 1998;30:265–8. DOIPubMedGoogle Scholar
- Vasiliu V, Herzer P, Rössler D, Lehnert G, Wilske B. Heterogeneity of Borrelia burgdorferi sensu lato demonstrated by an ospA-type-specific PCR in synovial fluid from patients with Lyme arthritis. Med Microbiol Immunol. 1998;187:97–102. DOIPubMedGoogle Scholar
- van der Heijden IM, Wilbrink B, Rijpkema SG, Schouls LM, Heymans PH, van Embden JD, Detection of Borrelia burgdorferi sensu stricto by reverse line blot in the joints of Dutch patients with Lyme arthritis. Arthritis Rheum. 1999;42:1473–80. DOIPubMedGoogle Scholar
- Jaulhac B, Heller R, Limbach FX, Hansmann Y, Lipsker D, Monteil H, Direct molecular typing of Borrelia burgdorferi sensu lato species in synovial samples from patients with Lyme arthritis. J Clin Microbiol. 2000;38:1895–900.PubMedGoogle Scholar
- Steere AC, Angelis SM. Therapy for Lyme arthritis: strategies for the treatment of antibiotic-refractory arthritis. Arthritis Rheum. 2006;54:3079–86. DOIPubMedGoogle Scholar
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