RESUMO
Management of gastrointestinal infections according to usually mild, self-confining character is commonly based on symptoms. Specific therapy is apply in basis on clinical view and results of diagnostics
Assuntos
Infecções Bacterianas/terapia , Diarreia/terapia , Doenças Parasitárias/terapia , Viroses/terapia , Adulto , Infecções Bacterianas/complicações , Infecções Bacterianas/diagnóstico , Diarreia/etiologia , Doenças Transmitidas por Alimentos/complicações , Humanos , Doenças Parasitárias/complicações , Doenças Parasitárias/diagnóstico , Viroses/complicações , Viroses/diagnósticoRESUMO
Lyme disease is a multi-organ animal-borne disease, caused by spirochetes of Borrelia burgdorferi (Bb), which typically affect the skin, nervous system, musculoskeletal system and heart. A history of confirmed exposure to tick bites, typical signs and symptoms of Lyme borreliosis and positive tests for anti-Bb antibodies, are the basis of a diagnosis. A two-step diagnosis is necessary: the first step is based on a high sensitivity ELISA test with positive results confirmed by a more specific Western blot assay. Antibiotic therapy is curative in most cases, but some patients develop chronic symptoms, which do not respond to antibiotics. The aim of this review is to summarize our current knowledge of the symptoms, clinical diagnosis and treatment of Lyme borreliosis.