Acute Neuroborrelioses in Children
Authors:
P. Kosina; S. Plíšek; J. Krausová; R. Kračmarová
Authors place of work:
Klinika infekčních nemocí, Lékařská fakulta a Fakultní nemocnice, Hradec Králové
přednosta MUDr. S. Plíšek, Ph. D.
Published in the journal:
Čes-slov Pediat 2009; 64 (5): 230-235.
Category:
Original Papers
Summary
Introduction:
The affection of the central nervous system related to borrelia etiology belongs to frequent diseases, but there is still lack of agreement in diagnostic criteria. At the child age the disease occurs at a lower rate than in adult individual patients and a corresponding antibiotic therapy results to complete recovery in most cases.
Methods and results:
Prospective analysis was performed in 33 children with diagnosis of acute neuroborreliosis and the evaluation of anamnestic data, finding in cerebrospinal fluid and serum, effects of therapy and permanent consequences. In 26 children the clinical picture included paresis of one of the cranial nerves, six children underwent the disease under the clinical picture of aseptic meningitis and one patient suffered from a severe meningoencephalitis with affected consciousness. The treatment included the intravenous administration of antibiotics for the period of three weeks. The subsequent two-year follow-up revealed a high percentage of complete recovery in the children patients observed.
Conclusions:
In patients with the picture of aseptic meningitis and pareses of cranial nerves, borelia etiology should always be in mind. At the present time there is not any reliable laboratory method in the diagnostics – available direct and indirect proofs of the causal agent should be combined with anamnesis and epidemiological data.
Key words:
neuroborreliosis, paresis, meningoencephalitis, anti-borrelia antibodies
Zdroje
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Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
2009 Číslo 5
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