| Title: | Why is the duration of erythema migrans at diagnosis longer in patients with lyme neuroborreliosis than in those without neurologic involvement? |
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| Authors: | ID Ogrinc, Katarina (Author)
ID Bogovič, Petra (Author)
ID Maraspin-Čarman, Vera (Author)
ID Lotrič-Furlan, Stanka (Author)
ID Rojko, Tereza (Author)
ID Kastrin, Andrej (Author)
ID Strle, Klemen (Author)
ID Wormser, Gary P. (Author)
ID Strle, Franc (Author) |
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| Files: |  PDF - Presentation file, download (237,34 KB)
MD5: F472C3977ABA3CD6C105F1786A88EB2F
 URL - Source URL, visit https://www.mdpi.com/2076-0817/13/2/137
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  UKC LJ - Ljubljana University Medical Centre
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| Abstract: | In prior studies, the skin lesion erythema migrans (EM) was present for a longer time period before diagnosis of concomitant borrelial meningoradiculoneuritis (Bannwarth’s syndrome) compared to EM patients without neurologic symptoms. To determine if this observation pertains to other manifestations of Lyme neuroborreliosis (LNB), we compared EM characteristics in patients with borrelial meningoradiculoneuritis (n = 122) to those with aseptic meningitis without radicular pain (n = 72 patients), and to patients with EM but without neurologic involvement (n = 12,384). We also assessed factors that might impact duration. We found that the duration of EM at diagnosis in patients with borrelial meningoradiculoneuritis was not significantly different compared with those with LNB without radicular pain (34 vs. 26 days; p = 0.227). The duration of EM for each of these clinical presentations of LNB, however, was significantly longer than in patients with EM without LNB (10 days; p < 0.001). Contributing factors to this difference might have been that patients with LNB failed to recognize that they had EM or were unaware of the importance of not delaying antibiotic treatment for EM. In conclusion, the duration of the EM skin lesion in EM patients with LNB is longer than in patients with just EM, irrespective of the type of LNB. |
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| Keywords: | lyme borreliosis, lyme disease, erythema migrans, Bannwarth’s syndrome, borrelial meningoradiculoneuritis |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Year of publishing: | 2024 |
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| Number of pages: | str. 1-10 |
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| Numbering: | Vol. 13, no. 2, [article no.] 137 |
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| PID: | 20.500.12556/DiRROS-30118  |
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| UDC: | 61 |
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| ISSN on article: | 2076-0817 |
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| DOI: | 10.3390/pathogens13020137 |
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| COBISS.SI-ID: | 186822915 |
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| Note: | Nasl. z nasl. zaslona;
Opis vira z dne 26. 2. 2024;
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| Publication date in DiRROS: | 15.06.2026 |
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| Views: | 35 |
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| Downloads: | 20 |
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