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Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area of northern Europe.
Scand J Infect Dis. 2009; 41(2):88-94.SJ

Abstract

Neuroborreliosis may be caused by different species of Borrelia burgdorferi (BB) and the clinical presentation of neuroborreliosis in children may differ between geographical areas due to occurrence of different BB genospecies. The aim of this study was to evaluate the clinical characteristics in children with neuroborreliosis in an endemic area of Scandinavia. During 1996-2006, children with suspected neuroborreliosis referred to Stavanger University Hospital were investigated by a standard procedure including a lumbar puncture. A total of 143 children were diagnosed with neuroborreliosis, and all cases were diagnosed from April to December. The most common clinical presentations were symptoms of mild meningitis (75%) and/or facial nerve palsy (69%). Radicular pain was present in only 10 children. In all but 5 children, laboratory signs of meningitis were present. Erythema migrans preceded the neurological symptoms in only 27% of the children. In conclusion, we have found that in an endemic area of northern Europe, meningitis is present in the majority of children with neuroborreliosis, and that symptoms of a mild meningitis or facial nerve palsy are the most common presentations.

Authors+Show Affiliations

Department of Paediatrics, Stavanger University Hospital, Stavanger, Norway. oykn@sus.noNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19065451

Citation

Øymar, Knut, and Dag Tveitnes. "Clinical Characteristics of Childhood Lyme Neuroborreliosis in an Endemic Area of Northern Europe." Scandinavian Journal of Infectious Diseases, vol. 41, no. 2, 2009, pp. 88-94.
Øymar K, Tveitnes D. Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area of northern Europe. Scand J Infect Dis. 2009;41(2):88-94.
Øymar, K., & Tveitnes, D. (2009). Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area of northern Europe. Scandinavian Journal of Infectious Diseases, 41(2), 88-94. https://doi.org/10.1080/00365540802593453
Øymar K, Tveitnes D. Clinical Characteristics of Childhood Lyme Neuroborreliosis in an Endemic Area of Northern Europe. Scand J Infect Dis. 2009;41(2):88-94. PubMed PMID: 19065451.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical characteristics of childhood Lyme neuroborreliosis in an endemic area of northern Europe. AU - Øymar,Knut, AU - Tveitnes,Dag, PY - 2008/12/10/pubmed PY - 2009/4/7/medline PY - 2008/12/10/entrez SP - 88 EP - 94 JF - Scandinavian journal of infectious diseases JO - Scand J Infect Dis VL - 41 IS - 2 N2 - Neuroborreliosis may be caused by different species of Borrelia burgdorferi (BB) and the clinical presentation of neuroborreliosis in children may differ between geographical areas due to occurrence of different BB genospecies. The aim of this study was to evaluate the clinical characteristics in children with neuroborreliosis in an endemic area of Scandinavia. During 1996-2006, children with suspected neuroborreliosis referred to Stavanger University Hospital were investigated by a standard procedure including a lumbar puncture. A total of 143 children were diagnosed with neuroborreliosis, and all cases were diagnosed from April to December. The most common clinical presentations were symptoms of mild meningitis (75%) and/or facial nerve palsy (69%). Radicular pain was present in only 10 children. In all but 5 children, laboratory signs of meningitis were present. Erythema migrans preceded the neurological symptoms in only 27% of the children. In conclusion, we have found that in an endemic area of northern Europe, meningitis is present in the majority of children with neuroborreliosis, and that symptoms of a mild meningitis or facial nerve palsy are the most common presentations. SN - 0036-5548 UR - https://www.unboundmedicine.com/medline/citation/19065451/Clinical_characteristics_of_childhood_Lyme_neuroborreliosis_in_an_endemic_area_of_northern_Europe_ L2 - https://www.tandfonline.com/doi/full/10.1080/00365540802593453 DB - PRIME DP - Unbound Medicine ER -