Vasculitis-like syndrome associated with Borrelia lusitaniae infection
We report the isolation of Borrelia lusitaniae from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that B. lusitani...
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Veröffentlicht in: | Clinical rheumatology 2008-12, Vol.27 (12), p.1587-1591 |
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container_title | Clinical rheumatology |
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creator | Lopes de Carvalho, I. Fonseca, J. E. Marques, J. G. Ullmann, A. Hojgaard, A. Zeidner, N. Núncio, M. S. |
description | We report the isolation of
Borrelia lusitaniae
from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that
B. lusitaniae
may be pathogenic in humans, highlighting that patients may be seronegative or present with minimal positive antibody titres and clinical signs that are not specific for Lyme borreliosis. In order to prevent the occurrence of more serious disease manifestations via timely treatment, the analysis by molecular methods may be a useful approach when antibody titres are uninformative. |
doi_str_mv | 10.1007/s10067-008-1012-z |
format | Article |
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Borrelia lusitaniae
from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that
B. lusitaniae
may be pathogenic in humans, highlighting that patients may be seronegative or present with minimal positive antibody titres and clinical signs that are not specific for Lyme borreliosis. In order to prevent the occurrence of more serious disease manifestations via timely treatment, the analysis by molecular methods may be a useful approach when antibody titres are uninformative.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-008-1012-z</identifier><identifier>PMID: 18795392</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Adolescent ; Animal vaccines ; Anti-Bacterial Agents - therapeutic use ; Borrelia - genetics ; Borrelia - immunology ; Borrelia - isolation & purification ; Case Report ; Doxycycline - therapeutic use ; Female ; Genotype ; Humans ; Immunoglobulin G ; Immunoglobulin M ; Lyme Disease - complications ; Lyme Disease - diagnosis ; Lyme Disease - drug therapy ; Medicine ; Medicine & Public Health ; Molecular Sequence Data ; Portugal ; Rheumatology ; Vasculitis - drug therapy ; Vasculitis - microbiology</subject><ispartof>Clinical rheumatology, 2008-12, Vol.27 (12), p.1587-1591</ispartof><rights>Clinical Rheumatology 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c369t-cde245a5d5bd666b1f1c941f2560876df4be528928e1ba4250466f847261ab303</citedby><cites>FETCH-LOGICAL-c369t-cde245a5d5bd666b1f1c941f2560876df4be528928e1ba4250466f847261ab303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10067-008-1012-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10067-008-1012-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18795392$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lopes de Carvalho, I.</creatorcontrib><creatorcontrib>Fonseca, J. E.</creatorcontrib><creatorcontrib>Marques, J. G.</creatorcontrib><creatorcontrib>Ullmann, A.</creatorcontrib><creatorcontrib>Hojgaard, A.</creatorcontrib><creatorcontrib>Zeidner, N.</creatorcontrib><creatorcontrib>Núncio, M. S.</creatorcontrib><title>Vasculitis-like syndrome associated with Borrelia lusitaniae infection</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>We report the isolation of
Borrelia lusitaniae
from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that
B. lusitaniae
may be pathogenic in humans, highlighting that patients may be seronegative or present with minimal positive antibody titres and clinical signs that are not specific for Lyme borreliosis. In order to prevent the occurrence of more serious disease manifestations via timely treatment, the analysis by molecular methods may be a useful approach when antibody titres are uninformative.</description><subject>Adolescent</subject><subject>Animal vaccines</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Borrelia - genetics</subject><subject>Borrelia - immunology</subject><subject>Borrelia - isolation & purification</subject><subject>Case Report</subject><subject>Doxycycline - therapeutic use</subject><subject>Female</subject><subject>Genotype</subject><subject>Humans</subject><subject>Immunoglobulin G</subject><subject>Immunoglobulin M</subject><subject>Lyme Disease - complications</subject><subject>Lyme Disease - diagnosis</subject><subject>Lyme Disease - drug therapy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Molecular Sequence Data</subject><subject>Portugal</subject><subject>Rheumatology</subject><subject>Vasculitis - drug therapy</subject><subject>Vasculitis - microbiology</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEQhoMotlZ_gBdZPHiLZrJJNjlqsSoUvKjXkN3Naup-1GQXaX-9KVsQBC8zh3nmneFB6BzINRCS3YRYRYYJkRgIULw9QFNgKcNKMXWIpiTLCE5ByQk6CWFFCKFSwTGagMwUTxWdosWbCcVQu94FXLtPm4RNW_qusYkJoSuc6W2ZfLv-I7nrvLe1M0k9BNeb1hmbuLayRe-69hQdVaYO9mzfZ-h1cf8yf8TL54en-e0SF6lQPS5KSxk3vOR5KYTIoYJCMagoF0RmoqxYbnn8kUoLuWGUEyZEJVlGBZg8JekMXY25a999DTb0unGhsHVtWtsNQQuVSam4iODlH3DVDb6Nv2kpIZXAY50hGKHCdyF4W-m1d43xGw1E7wzr0bCOhvXOsN7GnYt98JA3tvzd2CuNAB2BEEftu_W_l_9P_QFLlIZy</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Lopes de Carvalho, I.</creator><creator>Fonseca, J. 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E.</au><au>Marques, J. G.</au><au>Ullmann, A.</au><au>Hojgaard, A.</au><au>Zeidner, N.</au><au>Núncio, M. S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vasculitis-like syndrome associated with Borrelia lusitaniae infection</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>27</volume><issue>12</issue><spage>1587</spage><epage>1591</epage><pages>1587-1591</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>We report the isolation of
Borrelia lusitaniae
from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that
B. lusitaniae
may be pathogenic in humans, highlighting that patients may be seronegative or present with minimal positive antibody titres and clinical signs that are not specific for Lyme borreliosis. In order to prevent the occurrence of more serious disease manifestations via timely treatment, the analysis by molecular methods may be a useful approach when antibody titres are uninformative.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>18795392</pmid><doi>10.1007/s10067-008-1012-z</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Animal vaccines Anti-Bacterial Agents - therapeutic use Borrelia - genetics Borrelia - immunology Borrelia - isolation & purification Case Report Doxycycline - therapeutic use Female Genotype Humans Immunoglobulin G Immunoglobulin M Lyme Disease - complications Lyme Disease - diagnosis Lyme Disease - drug therapy Medicine Medicine & Public Health Molecular Sequence Data Portugal Rheumatology Vasculitis - drug therapy Vasculitis - microbiology |
title | Vasculitis-like syndrome associated with Borrelia lusitaniae infection |
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