Tick-borne Borrelia-meningitis in children. An outbreak in the Kalmar area during the summer of 1984.
Acta Paediatr Scand
; 76(2): 228-33, 1987 Mar.
Article
em En
| MEDLINE
| ID: mdl-3591290
ABSTRACT
Nine children, aged 5 to 11 years, with subacute or chronic meningitis were studied. Symptoms started during the summer season in all patients and in eight of the patients the disease began with a localized erythematous lesion (ECM), mostly in the face. In one patient only there was a history of an insect bite at the site of the erythema. The neurological abnormalities included aseptic meningitis, peripheral facial nerve palsy (5/9) and oculomotor nerve palsy (1/9). Most children complained of headache, fatigue, loss of appetite and had a low grade fever. High antibody titers to Borrelia spirochetes in serum and/or cerebrospinal fluid (CSF) were demonstrated by ELISA in eight of the nine patients and by indirect immunofluorescence assay (IFA) in three patients. All patients had a dramatic improvement in their general condition and became afebrile within three days of institution of i.v. penicillin G treatment (i.v. cefuroxime in one patient).
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Carrapatos
/
Mordeduras e Picadas
/
Infecções por Borrelia
/
Meningite
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Acta Paediatr Scand
Ano de publicação:
1987
Tipo de documento:
Article