Lyme disease in childhood: look at the problem and clinical case

Abstract

Literature review considers the problem of Lyme di­sease (LD), also known as systemic tick-borne borreliosis, Lyme borreliosis. Currently, the term “Lyme disease” refers to the entire group of etiologically independent ixodic tick-borne borelliosis. More than 13 genomic groups are identified that belong to the Borrelia burgdorferi sensu lato group. Only three types of Borrelia are currently considered to be pathogenic for humans: B.burgdorferi sensu stricto, B.garinii and B.afzelii. The nature of organ lesions depends on the species of Borrelia. Adults and school-age children are prone to LD. Children also have three clinical and pathomorphological stages of LD. The diagnosis is carried out step by step: the determination of M and G immunoglobulins using enzyme-linked immunosorbent assay, with a positive test — confirmation by immunoblotting. The described clinical case is of some interest in terms of late etiological diagnosis, since the course of the disease was without acute period and absence of the main feature — migratory erythema. Etiotropic treatment was started late.

Keywords

• borreliosis
• Lyme disease
• children
• clinical сase
• review