AWARENESS OF LYME BORRELIOSIS OF THE PATIENTS OF TERNOPIL REGIONAL TB DISPENSARY
DOI:
https://doi.org/10.11603/ijmmr.2413-6077.2017.1.7810Keywords:
Lyme borreliosis, surwey, sarcoidosis, tuberculosis, granulomatous diseases, Lyme disease, Borrelia burgdorferi.Abstract
Background. Lyme disease has many clinical features similar tothose in sarcoidosis and tuberculosis. Epidemiological data in the world, in particular in Ukraine, proves the increase in Lyme borreliosis incidence. Ternopil region is endemic with Lyme borreliosis.
Objective. The research was aimed to investigate the prevalence of infection with Borrelia burgdorferi and epidemiology features of borreliosis among the patients of Ternopil Regional TB Dispensary.
Methods. In total, 29 patients were admitted to Departments of Differential Diagnostic, TB Therapy and TB Surgery of Ternopil Regional TB Dispensary in October 2016-January 2017. All the surveyed answered the questions of an integrated international questionnaire, where they noted the area and a number of tick bites, described the removal method, noted the survey for borreliosis pathogen and complaints after tick bites.
Results. It was established that 5 respondents had a history of tick bites episodes, but only in one case the patient was examined of borreliosis. Tick bites were noticed in 3 patients with sarcoidosis and 1 with tuberculosis (TB) and exudative pleurisy, respectively.
Conclusions. The absence of appeals for medical care, lack of sufficient information on Lyme borreliosis and disuse of preventive measures for tick bites by the interviewed patients of Ternopil regional TB dispensary departments proves the need of improvement of health education on Lyme borreliosis (LB) among this category of population. 24 (82.7%) of 29 respondents did not remember the tick bite. The symptoms of (LB) are similar to those in sarcoidosis and tuberculosis (pleural lesions, heart, joints, nervous system, skin), and the presence of tick bites gives the reasons to examine these patients of Borrelia burgdorferi senso lato.
References
Andreychyn MA. Infectious diseases in general practice and family medicine. Ternopil: Ukrmedknuha; 2007.
Baughman RP, Lower EE, du Bois R. Sarcoidosis. Lancet 2003; 361:111–1118.
Vasylyeva NA, Ivakhiv OL, Kachor VO, et al. Lyme disease in Ternopil region. Infectious diseases. 2011;2:50–53.
Nunes H, Bouvry D, Soler P, Valeyre D. Sarcoidosis. Orphanet Journal of Rare Diseases 2007. doi:10.1186/1750-1172-2-46.
Shkilna MI. Lyme borreliosis in forest workers of Ternopil region. Infectious diseases. 2016;83(1):36–40.
Antonova TV, Zhevnerova NS. Viral myocarditis: etiology and pathogenesis, problems of diagnostics. Journal Infectology. 2013;5(2):13–21. doi:10.22625/2072-6732-2013-5-2-13-21.
Feshchenko YuI, Protsyk LM, Cherednyk YuO. Respiratory sarcoidosis: current state of problem. Ukrainian Journal Pulmonological. 2006;3:5–10.
Boyko LT. Modern methods of laboratory diagnosis of serous meningitis. Ukrainian Journal Psychoneurology. 2014;22(79):25–27.
Duzhy ID, Oleshchenko HP, Hresko IYA, Yurchenko AV. Pleural effusion syndrome and Lyme disease. Tuberculosis, Pulmonary Diseases, HIV Infection. 2016;2(25):79–84.
Gavrisiuk VK. Respiratory sarcoidosis. Kyiv: Veles; 2015.
Activity of ticks continues. 2016. http://www.terses.gov.ua. Accessed 03 Now 2016.
Solovey NV. LymeBorreliosis. Minsk. 2015.
Vizel AA, Guryleva ME. Potential infectious triggers in sarcoidosis. Clinical microbiology and antimicrobial chemotherapy. 2002;4(4):313–324.
Stinco Giuseppe. Lyme disease, atypical skin manifestations. Acta dermatovenerologica APA. 1994;3(93)49–52.
Popovych OO. Lyme Borreliosis: current problem of infectiology (Clinical Lecture). Actual Infectology. 2016;3(12):114–122. doi:10.22141/2312-413x.3.12.2016.81725.
Esteves T, Aparicio G, Garcia-Patos V. Is there any association between Sarcoidosis and infectious agents?: a systematic review and meta-analysis. BMC Pulmonary Medicine. 2016;16(165):1–13. doi:10.1186/s12890-016-0332-z.
Mayne PJ. Clinical determinants of Lyme borreliosis, babesiosis, bartonellosis, anaplasmosis, and ehrlichiosis in an Australian cohort. International Journal of General Medicine. 2015;8:15–26.
Allen HB, Shaver CM, Etzler CA, Joshi SG. Autoimmune diseases of the innate and adaptive immune system including atopic dermatitis, psoriasis, chronic arthritis, Lyme Disease, and Alzheimer’s Disease. Immunochem Immunopathol. 2015;1(112):1–4. doi:10.4172/2469-9756.1000112.
Downloads
Published
How to Cite
Issue
Section
License
Authors who sent their manuscript to International Journal of Medicine and Medical Research agree to the following terms:
1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License CC-BY-NC that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
2. Authors able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
