Comparison of Post-Lyme Borreliosis Symptoms in Erythema
Migrans Patients with,Positive and Negative Borrelia burgdorferi Sensu Lato
Skin Culture.
Vector Borne Zoonotic Dis. 2010 Nov 17; [Epub ahead of print]
Comparison of Post-Lyme Borreliosis Symptoms in Erythema Migrans Patients
with Positive and Negative Borrelia burgdorferi Sensu Lato Skin Culture.
Stupica D, Lusa L, Cerar T, Ruzic-Sabljic E, Strle F.
1 Department of Infectious Diseases, University Medical Center Ljubljana ,
Ljubljana, Slovenia .
Abstract Purpose: Limited data exist on differences of erythema migrans
patients with either positive or negative Borrelia burgdorferi sensu lato
skin culture.
Methods: We analyzed 252 adult patients with erythema migrans in whom skin
biopsy specimen was cultured for the presence of B. burgdorferi sensu lato.
Evaluations of epidemiological, clinical, and microbiological findings were
conducted at baseline, 14 days, 2, 6, and 12 months after treatment with
either doxycycline or cefuroxime axetil.
Results: One hundred fifty-one (59.9%)
patients had positive skin culture (86.9% B. afzelii, 8.0% B. garinii, 5.1%
B.
burgdorferi sensu stricto) and 101 (40.1%) had negative skin culture.
Patients in the culture-positive and culture-negative groups were
comparable
for the basic demographic, epidemiological, clinical, and laboratory
characteristics at presentation. Statistically significantly worse selected
treatment outcome parameters in the culture-positive group compared with
the
culture-negative group were established during follow-up. Treatment failure
was documented in two patients who were culture positive and in none in the
culture-negative group.
Conclusions: Although findings for the pretreatment characteristics were
comparable between the erythema migrans skin culture-positive and
culture-negative patients, some parameters indicate that borrelia skin
culture positivity may predict a less-favorable treatment outcome.
http://eutils.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&id=210
83376&retmode=ref&cmd=prlinks
PMID: 21083376 [PubMed - as supplied by publisher]
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