_http://www.liebertonline.com/doi/abs/10.1089/vbz.2010.0018_
(http://www.liebertonline.com/doi/abs/10.1089/vbz.2010.0018)
Vector-Borne and Zoonotic Diseases
Comparison of Post-Lyme Borreliosis Symptoms in Erythema Migrans
Patients with Positive and Negative Borrelia burgdorferi Sensu Lato Skin
Culture
To cite this article:
Daša Stupica, Lara Lusa, Tjaša Cerar, Eva Ružić-Sabljić and Franc Strle.
Vector-Borne and Zoonotic Diseases. July 2011, 11(7): 883-889.
doi:10.1089/vbz.2010.0018.
Published in Volume: 11 Issue 7: July 7, 2011
Online Ahead of Print: November 17, 2010
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.
[Non-text portions of this message have been removed]
Peacefulmind.com Sponsors Alternative Answers-
HEALING NATURALLY- Learn preventative and curative measure to take for many ailments at:
http://www.peacefulmind.com/ailments.htm
____________________________________________
-To INVITE A FRIEND to our healing community, copy and paste this address in an email to them:
http://health.groups.yahoo.com/group/AlternativeAnswers/subs_invite
___________________________________________
To ADD A LINK, RESOURCE, OR WEBSITE to Alternative Answers please Go to:
http://health.groups.yahoo.com/group/AlternativeAnswers/links
_____________________________________________
Community email addresses:
Post message: AlternativeAnswers@yahoogroups.com
Subscribe: AlternativeAnswers-subscribe@yahoogroups.com
Unsubscribe: AlternativeAnswers-unsubscribe@yahoogroups.com
List owner: AlternativeAnswers-owner@yahoogroups.com
_________________________________________
Shortcut URL to this page:
http://health.groups.yahoo.com/group/AlternativeAnswers
No comments:
Post a Comment