Lyme disease in Poland - A serious problem?

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• 作者：Piotr Czupryna^a ; Anna Moniuszko-Malinowska^a ; ^{annamoniuszko@op.pl" class="auth_mail" title="E-mail the corresponding author} ; Sławomir Pancewicz^a ; Adam Garkowski^a ; Joanna Gościk^b ; Agnieszka Siemieniako^a ; Joanna Zajkowska^a
• 关键词：Lyme disease ; Overdiagnosis ; Epidemiology
• 刊名：Advances in Medical Sciences
• 出版年：2016
• 出版时间：March 2016
• 年：2016
• 卷：61
• 期：1
• 页码：96-100
• 全文大小：607 K

文摘

We evaluated the clinical picture of patients hospitalized with Lyme disease (LD). Additionally, we analyzed the possible cause of sudden rise in LD incidence in Poland.

Materials and methods

We retrospectively analyzed medical documentation of patients admitted to the Department of Infectious Diseases and Neuroinfections, Medical University in Bialystok in 2013 with suspicion of LD.

The collected data featured patients’ age, gender, occupation, symptoms, clinical form of LD and final diagnosis. Additionally 38 patients with diagnosed LD and chronic joint pain, with no improvement after previous antibiotic treatment, completed the survey.

Results

In 2013 overall 378 patients were admitted to our Department with suspicion of LD. Neuroborreliosis (NB) was confirmed in 10 out of 42 patients. Acrodermatitis chronica atrophicans (ACA) was confirmed in 5 cases. As far as patients with joint pains are concerned – in 4 cases Lyme arthritis (LA) was diagnosed, in 174 the serology and clinical symptoms indicated possibility of active infection, in 153 patients no features of active infection were found.

The majority of surveyed patients had BMI over 25, they suffered from many chronic diseases, e.g. osteoarthrosis, hypertension, diabetes.

Conclusions

The reported incidence of LD in Poland, in our opinion, may be biased by overreporting and overdiagnosis. Nonspecific musculoskeletal and joint pain are the most frequent cause of LD suspicion and hospitalization. There is a necessity of better tests for active LD confirmation (especially in patients with musculoskeletal pain) as seroprevalence of anti Borrelia burgdorferi antibodies is high in endemic regions.