RÉSUMÉ
Erythema migrans is the skin manifestation of Lyme disease and southern tick-associated rash illness. Neither disease is found in the Caribbean. We report 4 cases of erythema migrans of a possible emerging clinical entity, Caribbean erythma migrans-like illness.
Sujet(s)
Érythème chronique migrateur/diagnostic , Érythème chronique migrateur/épidémiologie , Adolescent , Adulte , Animaux , Morsures et piqûres , Caraïbe/épidémiologie , Érythème chronique migrateur/anatomopathologie , Femelle , Humains , Mâle , Adulte d'âge moyen , TiquesRÉSUMÉ
In the present study, we report the occurrence of borreliosis in patients from the Brazilian Amazonic region. Nineteen (7.2%) out of 270 dermatological patients with different skin diseases (no one with clinical Lyme disease), tested positive by ELISA for Borrelia burgdorferi. Serum samples from 15 out of the 19 ELISA-positive patients were further evaluated by Western blot. Presence of Borrelia burgdorferi specific IgG was confirmed in eight (53.3%) out of the 15 patients. All eight patients with ELISA and Western blot positive reactions were treated with doxycycline, according to the Centers for Disease Control and Prevention guidelines. One of them had clinical manifestations of colagenosis and was sent to the Department of Internal Medicine for further investigation. Data presented here suggested that borreliosis "lato sensu" is in the Brazilian Amazon region.
Sujet(s)
Anticorps antibactériens/immunologie , Antigènes bactériens/immunologie , Borrélioses/épidémiologie , Borrelia burgdorferi/immunologie , Érythème chronique migrateur/épidémiologie , Immunoglobuline G/immunologie , Adulte , Anticorps antibactériens/sang , Technique de Western , Borrélioses/traitement médicamenteux , Borrélioses/immunologie , Borrelia burgdorferi/isolement et purification , Brésil/épidémiologie , Doxycycline/usage thérapeutique , Test ELISA , Érythème chronique migrateur/traitement médicamenteux , Érythème chronique migrateur/immunologie , Femelle , Humains , Immunoglobuline G/sang , Mâle , Adulte d'âge moyen , Études séroépidémiologiquesRÉSUMÉ
Five patients living in Rio de Janeiro, Brazil, were found to have Lyme disease. These are among the first known cases in South America.