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Neuroborreliosis

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https://www.readbyqxmd.com/read/28887186/to-test-or-not-to-test-laboratory-support-for-the-diagnosis-of-lyme-borreliosis
#1
REVIEW
Ram B Dessau, Alje P van Dam, Volker Fingerle, Jeremy Gray, Joppe Hovius, Klaus-Peter Hunfeld, Benoit Jaulhac, Olaf Kahl, Wolfgang Kristoferitsch, Per-Eric Lindgren, Mateusz Markowicz, Sally Mavin, Katharina Ornstein, Tobias Rupprecht, Gerold Stanek, Franc Strle
BACKGROUND: Lyme borreliosis (LB) is a tick-borne infection caused by Borrelia burgdorferi sensu lato. The most frequent clinical manifestations are erythema migrans and Lyme neuroborreliosis. Currently, a large volume of diagnostic testing for Lyme borreliosis is reported, whereas the incidence of clinically relevant disease manifestations is low. This indicates overuse of diagnostic testing for LB with implications for patient care and cost effective health management. AIM: The recommendations provided in this review are intended to support both the clinical diagnosis and initiatives for a more rational use of laboratory testing in patients with clinically suspected Lyme borreliosis...
September 5, 2017: Clinical Microbiology and Infection
https://www.readbyqxmd.com/read/28867633/borrelia-burgdorferi-basic-membrane-protein-a-could-induce-chemokine-production-in-murine-microglia-cell-line-bv2
#2
Hua Zhao, Aihua Liu, Yuhui Cui, Zhang Liang, Bingxue Li, Fukai Bao
Lyme neuroborreliosis is a nervous system infectious disease caused by Borrelia burgdorferi (B. burgdorferi). It has been demonstrated that cytokines induced by B. burgdorferi are related to Lyme neuroborreliosis. Microglia is known as a key player in the immune responses that occur within the central nervous system. In response to inflammation, it will be activated and generate cytokines and chemokines. Experiments in vitro cells have showed that B. Burgdorferi membrane protein A (BmpA), a major immunogen of B...
September 1, 2017: Microbial Pathogenesis
https://www.readbyqxmd.com/read/28859668/cerebrospinal-fluid-cxcl13-as-a-diagnostic-marker-of-neuroborreliosis-in-children-a-retrospective-case-control-study
#3
M M Remy, N Schöbi, L Kottanattu, S Pfister, A Duppenthaler, F Suter-Riniker
BACKGROUND: Lyme neuroborreliosis (LNB) is a frequent manifestation of Lyme disease in children and its current diagnosis has limitations. The elevation of the chemokine CXCL13 in the cerebrospinal fluid (CSF) of adult patients with LNB has been demonstrated and suggested as a new diagnostic marker. Our aim was to evaluate this marker in the CSF of children with suspected LNB and to determine a CXCL13 cut-off concentration that would discriminate between LNB and other central nervous system (CNS) infections...
August 31, 2017: Journal of Neuroinflammation
https://www.readbyqxmd.com/read/28748396/disagreement-between-the-results-from-three-commercial-tests-for-the-detection-of-borrelia-specific-serum-antibodies-in-the-netherlands-associated-with-antibiotic-treatment-for-lyme-borreliosis-a-retrospective-study
#4
T van Gorkom, K Kremer, W Voet, D W Notermans, B J M Vlaminckx, S U C Sankatsing, S F T Thijsen
The diagnosis of Lyme borreliosis is challenging because of the often non-specific symptoms and persisting antibodies after infection. We investigated the diagnostic characteristics of two enzyme-linked immunosorbent assays (ELISAs) and an immunoblot for the detection of Borrelia-specific serum antibodies using different test strategies in individuals with and without antibiotic treatment for Lyme borreliosis. This retrospective study included healthy individuals, patients with active Lyme neuroborreliosis and patients treated for Lyme neuroborreliosis...
July 26, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/28730535/the-recombead-borrelia-antibody-index-cxcl13-and-total-igm-index-for-laboratory-diagnosis-of-lyme-neuroborreliosis-in-children
#5
B H Skogman, M Lager, A J Henningsson, I Tjernberg
For laboratory diagnostics of Lyme neuroborreliosis (LNB), the recomBead Borrelia antibody index (AI) assay has shown promising results in a mixed age population, but has not previously been evaluated with specific focus on paediatric patients. The aim of the study was to evaluate the recomBead Borrelia AI assay in cerebrospinal fluid (CSF) for the laboratory diagnosis of LNB in children. We also wanted to explore whether early markers, such as CXCL13 in CSF and/or total IgM index could be useful as complementary diagnostic tools...
July 20, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/28705983/completed-genome-sequences-of-borrelia-burgdorferi-sensu-stricto-b31-nrz-and-closely-related-patient-isolates-from-europe
#6
Gabriele Margos, Sabrina Hepner, Christoph Mang, Andreas Sing, Bernhard Liebl, Volker Fingerle
Borrelia burgdorferi sensu stricto is a causative agent of human Lyme borreliosis in the United States and Europe. We report here the completed genome sequences of strain B31 isolated from a tick in the United States and two closely related strains from Europe, PAli and PAbe, which were isolated from patients with erythema migrans and neuroborreliosis, respectively.
July 13, 2017: Genome Announcements
https://www.readbyqxmd.com/read/28703098/surveillance-perspective-on-lyme-borreliosis-across-the-european-union-and-european-economic-area
#7
Cees C van den Wijngaard, Agnetha Hofhuis, Mariana Simões, Ente Rood, Wilfrid van Pelt, Herve Zeller, Wim Van Bortel
Lyme borreliosis (LB) is the most prevalent tick-borne disease in Europe. Erythema migrans (EM), an early, localised skin rash, is its most common presentation. Dissemination of the bacteria can lead to more severe manifestations including skin, neurological, cardiac, musculoskeletal and ocular manifestations. Comparison of LB incidence rates in the European Union (EU)/European Economic Area (EEA) and Balkan countries are difficult in the absence of standardised surveillance and reporting procedures. We explored six surveillance scenarios for LB surveillance in the EU/EEA, based on the following key indicators: (i) erythema migrans, (ii) neuroborreliosis, (iii) all human LB manifestations, (iv) seroprevalence, (v) tick bites, and (vi) infected ticks and reservoir hosts...
July 6, 2017: Euro Surveillance: Bulletin Européen sur les Maladies Transmissibles, European Communicable Disease Bulletin
https://www.readbyqxmd.com/read/28691831/-diagnostic-relevance-of-the-chemokine-cxcl13-and-anti-c6-peptide-antibodies-in-patients-with-neuroborreliosis
#8
D Pícha, L Moravcová, D Smíšková
AIM OF THE STUDY: The study was focused on testing the diagnostic value of detection of the chemokine CXCL13 (B lymphocyte chemoattractant) and anti-C6 peptide (synthetic peptide derived from B. burdorferi VlsE protein) antibodies in patients with neuroborreliosis (NB). MATERIAL AND METHODS: One hundred and twenty-nine patients with clinical suspicion of neuroinfection were included in the study. Eighty patients with NB (positive for antibodies in serum and CSF) were subdivided into four groups (A1-A4) based on positivity/negativity of the antibody index (AI) and pleocytosis...
2017: Epidemiologie, Mikrobiologie, Imunologie
https://www.readbyqxmd.com/read/28676925/lyme-neuroborreliosis-do-we-treat-according-to-guidelines
#9
Åslaug R Lorentzen, Kristine J N Forselv, Geir Helgeland, Rigmor E Salvesen, Geir Sand, Heidi Ø Flemmen, Margrete H Bø, Ludmila Nordaa, Anna K Roos, Marion W Jim, Jone F Owe, Kaja B Nyquist, Stephan Schüler, Randi Eikeland, Åse Mygland, Unn Ljøstad
Evidence-based guidelines, published in 2010, equate the efficacy of oral and intravenous antibiotics and recommend treatment duration of 2 weeks in early Lyme neuroborreliosis (LNB) without encephalitis or myelitis. Further, the Norwegian health authorities give a general advice to choose oral rather than intravenous administration when proven effective, due to lower costs, fewer risks, and reduced patient inconvenience. In this study we aimed to chart LNB treatment practice in Norway and compare it to these recommendations...
July 2017: Journal of Neurology
https://www.readbyqxmd.com/read/28676442/a-biochip-based-combined-immunoassay-for-detection-of-serological-status-of-borrelia-burgdorferi-in-lyme-borreliosis
#10
Na-Li Huang, Lei Ye, Hui Lv, Yi-Xin Du, Marion Schneider, Li-Bin Fan, Wei-Dong Du
BACKGROUND: Dithiobis (succinimidyl undecanoate) modified gold surface biochip were used as a combined immunoassay platform for concurrently detecting immune responses to Borrelia burgdorferi (B. burgdorferi) sensu lato antigens, flagellin, outer surface protein C, variable major protein-like sequence proteins, and 3 VlsE protein IR6 peptides. The peptides represented intrinsic Borrelia genospecies: B. burgdorferi sensu stricto, B. garinii, and B. afzelii, respectively. METHODS: Fourier transform infrared spectroscopy was utilized to validate the surface chemical characteristics on the modified gold surface...
July 1, 2017: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://www.readbyqxmd.com/read/28661964/cerebrospinal-fluid-b-lymphocyte-chemoattractant-cxcl-13-in-the-diagnosis-of-acute-lyme-neuroborreliosis-in-children
#11
Bjørn Barstad, Dag Tveitnes, Sølvi Noraas, Ingvild Selvik Ask, Maryam Saeed, Franziskus Bosse, Grete Vigemyr, Ilka Huber, Knut Øymar
BACKGROUND: Current markers of Lyme neuroborreliosis (LNB) in children have insufficient sensitivity in the early stage of disease. The B-lymphocyte chemoattractant CXCL13 in the cerebrospinal fluid (CSF) may be useful in diagnosing LNB, but its specificity has not been evaluated in studies including children with clinically relevant differential diagnoses. The aim of this study was to elucidate the diagnostic value of CSF CXCL13 in children with symptoms suggestive of LNB. METHODS: Children with symptoms suggestive of LNB were included prospectively into predefined groups with a high or low likelihood of LNB based on CSF pleocytosis and the detection of Borrelia antibodies or other causative agents...
June 28, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28654563/neuroborreliosis-in-swedish-children-a-population-based-study-on-incidence-and-clinical-characteristics
#12
Liv Södermark, Vignir Sigurdsson, Wilhelmina Näs, Pernilla Wall, Birger Trollfors
BACKGROUND: Borrelia burgdorferi is a common cause of bacterial meningitis but there are very few studies on incidence in Europe. OBJECTIVE: To report the incidence and symptoms of neuroborreliosis in Swedish children. DESIGN: Medical records of children (<15 years) treated for neuroborreliosis 2002-2014 were studied retrospectively. The patients were identified in the computerized registers of discharge diagnoses at the Departments of Pediatrics and Infectious Diseases in Gothenburg, Borås, Trollhättan and Halmstad using ICD-10 diagnosis codes G51...
June 24, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28651265/-imaging-in-cranial-nerve-neuritis-by-lyme-neuroborreliosis
#13
REVIEW
Anja Örgel, Till-Karsten Hauser, Thomas Nägele, Marius Horger
No abstract text is available yet for this article.
July 2017: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
https://www.readbyqxmd.com/read/28636584/proton-magnetic-resonance-spectroscopy-in-huntington-s-disease-accompanying-neuroborreliosis
#14
Helena Sarac, David Ozretic, Neven Henigsberg, Pero Hrabac, Ivan Bagaric, Lucija Bagaric-Krakan
No abstract text is available yet for this article.
June 2017: Psychiatria Danubina
https://www.readbyqxmd.com/read/28473801/cerebrovascular-manifestations-of-lyme-neuroborreliosis-a-systematic-review-of-published-cases
#15
REVIEW
Adam Garkowski, Joanna Zajkowska, Agata Zajkowska, Alina Kułakowska, Olga Zajkowska, Bożena Kubas, Dorota Jurgilewicz, Marcin Hładuński, Urszula Łebkowska
BACKGROUND: Lyme neuroborreliosis (LNB) is a disease caused by spirochete Borrelia burgdorferi, involving the nervous system. It usually manifests as lymphocytic meningoradiculitis, but in rare cases, it can also lead to cerebrovascular complications. We aimed to perform a systematic review of all reported cases of LNB complicated by central nervous system vasculitis and stroke or transient ischemic attack (TIA). MATERIALS AND METHODS: We conducted a systematic review of literature between May 1987 and December 2016 with patients who presented with cerebrovascular course of LNB...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/28457619/borrelia-burgdorferi-specific-iga-in-lyme-disease
#16
Christina D'Arco, Raymond J Dattwyler, Paul M Arnaboldi
The laboratory diagnosis of Lyme disease is currently dependent on the detection of IgM and IgG antibodies against Borrelia burgdorferi, the causative agent of the disease. The significance of serum IgA against B. burgdorferi remains unclear. The production of intrathecal IgA has been noted in patients with the late Lyme disease manifestation, neuroborreliosis, but production of antigen-specific IgA during early disease has not been evaluated. In the current study, we assessed serum IgA binding to the B. burgdorferi peptide antigens, C6, the target of the FDA-cleared C6 EIA, and FlaB(211-223)-modVlsE(275-291), a peptide containing a Borrelia flagellin epitope linked to a modified VlsE sequence, in patients with early and late Lyme disease...
May 2017: EBioMedicine
https://www.readbyqxmd.com/read/28397100/the-burden-and-epidemiology-of-community-acquired-central-nervous-system-infections-a-multinational-study
#17
H Erdem, A Inan, E Guven, S Hargreaves, L Larsen, G Shehata, E Pernicova, E Khan, L Bastakova, S Namani, A Harxhi, T Roganovic, B Lakatos, S Uysal, O R Sipahi, A Crisan, E Miftode, R Stebel, B Jegorovic, Z Fehér, C Jekkel, N Pandak, A Moravveji, H Yilmaz, A Khalifa, U Musabak, S Yilmaz, A Jouhar, N Oztoprak, X Argemi, M Baldeyrou, G Bellaud, R V Moroti, R Hasbun, L Salazar, R Tekin, A Canestri, L Čalkić, L Praticò, F Yilmaz-Karadag, L Santos, A Pinto, F Kaptan, P Bossi, J Aron, A Duissenova, G Shopayeva, B Utaganov, S Grgic, G Ersoz, A K L Wu, K C Lung, A Bruzsa, L B Radic, H Kahraman, M Momen-Heravi, S Kulzhanova, F Rigo, M Konkayeva, Z Smagulova, T Tang, P Chan, S Ahmetagic, H Porobic-Jahic, F Moradi, S Kaya, Y Cag, A Bohr, C Artuk, I Celik, M Amsilli, H C Gul, A Cascio, M Lanzafame, M Nassar
Risk assessment of central nervous system (CNS) infection patients is of key importance in predicting likely pathogens. However, data are lacking on the epidemiology globally. We performed a multicenter study to understand the burden of community-acquired CNS (CA-CNS) infections between 2012 and 2014. A total of 2583 patients with CA-CNS infections were included from 37 referral centers in 20 countries. Of these, 477 (18.5%) patients survived with sequelae and 227 (8.8%) died, and 1879 (72.7%) patients were discharged with complete cure...
April 10, 2017: European Journal of Clinical Microbiology & Infectious Diseases
https://www.readbyqxmd.com/read/28378969/estimation-of-cognitive-and-affective-disorders-occurrence-in-patients-with-lyme-borreliosis
#18
Barbara Oczko-Grzesik, Lucjan Kępa, Monika Puszcz-Matlińska, Robert Pudło, Anna Żurek, Teresa Badura-Głąbik
INTRODUCTION AND OBJECTIVE: Lyme borreliosis (LB) is a disease caused by the bacteria Borrelia burgdorferi. The most common symptoms are related to the skin, musculo-scelatal system, central and peripheral nervous system, rarely to the heart muscle and the eye, and may occur in the multistage course of the disease. LB may additionally be accompanied by psychopathological symptoms. The aim of the study is estimation of the cognitive and affective disorders occurence in patients with LB...
March 1, 2017: Annals of Agricultural and Environmental Medicine: AAEM
https://www.readbyqxmd.com/read/28369944/increasing-acetyl-coa-metabolism-attenuates-injury-and-alters-spinal-cord-lipid-content-in-mice-subjected-to-experimental-autoimmune-encephalomyelitis
#19
Amber C Chevalier, Thad A Rosenberger
Acetate supplementation increases brain acetyl-CoA metabolism, alters histone and non-histone protein acetylation, increases brain energy reserves, and is anti-inflammatory and neuroprotective in rat models of neuroinflammation and neuroborreliosis. To determine the impact acetate supplementation has on a mouse model of multiple sclerosis, we quantified the effect treatment had on injury progression, spinal cord lipid content, phospholipase levels, and myelin structure in mice subjected to experimental autoimmune encephalomyelitis (EAE)...
June 2017: Journal of Neurochemistry
https://www.readbyqxmd.com/read/28352054/b-cell-leukemia-lymphoma-and-neuroborreliosis-diagnostic-and-therapeutic-challenges
#20
Islas-Muñoz Beda, Espinosa-Bautista Karla, Cervantes-Castillo M Almudena, Grimaldo-Gómez Flavio, Reyes-Pérez J Armando, Volkow-Fernández Patricia
No abstract text is available yet for this article.
January 2017: Journal of Vector Borne Diseases
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