CNS presentation of Lyme disease
CNS presentation of Lyme disease CNS presentation of Lyme disease
Symptoms of Lyme Borreliosishistorical features• Skin manifestations known since more than100 years– Afzelius in 1909 : Erythema migrans– Buchwald in 1883 : Acrodermatitischronica atrophicans• Neurological manifestations– Garin and Bujadoux in 1922 meningoradiculitisafter tick bite– Also call : Bannwarth’s syndrome• Articular manifestations Steere in 1977 :Lyme disease• Correlation between Borrelia and Lymedisease in 1982
Symptoms of Lyme borreliosiskinetic features• Primary Lyme disease– Following some days to some weeks after tick bite• Early or Secondary Lyme disease– Approximately from three weeks to 3 months after tickbite• Late manifestations– More than several month evolution• Post Lyme disease– Sequellae ?
- Page 5 and 6: The answer• If your referenceis
- Page 8 and 9: What do we need to make diagnosis o
- Page 10 and 11: Lyme diseasethe three steps of diag
- Page 13 and 14: Microbiological Epidemiology- infes
- Page 15: Lyme diseasethe three steps of diag
- Page 19 and 20: Early LNB• PNS manifestations.- m
- Page 21 and 22: Late neuroborreliosis• PNS manife
- Page 23 and 24: Neuroborreliosis an exemple in a re
- Page 25 and 26: Lyme diseasethe three steps of diag
- Page 27 and 28: Serology two-step approachScreening
- Page 29 and 30: Western blot• First antibodies in
- Page 31 and 32: Diagnosis criteria
- Page 33 and 34: European national neurological soci
- Page 35 and 36: Antibiotic choice for neuroborrelio
- Page 37 and 38: Doxyxyclin and neuroborreliosis•
- Page 39 and 40: Treatment of nervous system Lymedis
- Page 42 and 43: Some specific situations
- Page 44 and 45: Late stage neuroborreliosis• Ther
- Page 46 and 47: Follow up• No correlation between
- Page 48 and 49: Koch’s postulate• The microorga
- Page 50 and 51: The polemic• Some patients « see
- Page 53 and 54: Aim of the study• Evaluate the po
- Page 55: Conclusion• Right diagnosis is im
Symptoms <strong>of</strong> <strong>Lyme</strong> Borreliosishistorical features• Skin manifestations known since more than100 years– Afzelius in 1909 : Erythema migrans– Buchwald in 1883 : Acrodermatitischronica atrophicans• Neurological manifestations– Garin and Bujadoux in 1922 meningoradiculitisafter tick bite– Also call : Bannwarth’s syndrome• Articular manifestations Steere in 1977 :<strong>Lyme</strong> <strong>disease</strong>• Correlation between Borrelia and <strong>Lyme</strong><strong>disease</strong> in 1982