The impact of Lyme disease on quality of life and multiorgan function, diagnosis, late stages of the disease and PTLDS
DOI:
https://doi.org/10.12775/QS.2024.21.54172Keywords
Lyme Arthritis, Neuroborreliosis, Lyme CarditisAbstract
Introduction and purpose of the work:
Lyme disease is the most common tick-borne disease in the world. It is caused by bacteria of the Borrelia genus. It is transmitted by ticks of the Ixodes genus. The disease caused by these bacteria can affect many organs of the human body. Knowledge about diagnosis, form of the disease and treatment is necessary because this disease entity can often be encountered in clinical practice. The aim of the study is to present information on available diagnostic methods and to describe the organ form of the disease, distinguishing: articular form, cardiac form and neuroborreliosis, based on a review of the current literature.
Review methods:
The review is based on 20 articles obtained from PubMed databases, using the keywords: "Lyme joint disease", "neuroborrelia", "Lyme heart disease". Published between 2000 and 2023.
Brief description of the state of knowledge:
Lyme disease most often causes symptoms affecting the skin, musculoskeletal system, heart muscle, and nervous system. The diagnosis of the disease is based on the clinical symptoms presented by the patient. The key symptom of the disease is the presence of erythema migrans (EM). The articular form of Lyme disease is characterized by an ongoing inflammatory process located within the joint. It is located within large ponds. The most common cardiac form of the disease is self-limiting cardiac inflammation caused by Lyme disease. However, in the course of neuroborreliosis, meningitis is observed. Treatment is based on antibiotic therapy.
Conclusions:
Lyme disease is a life-threatening disease. It can cause non-specific symptoms, so it is important to diagnose it as early as possible and treat it to prevent progression.
References
Skar GL, Simonsen K. Lyme Disease. [Updated 2023 Feb 13]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan- www.ncbi.nlm.nih.gov/books/NBK431066/
Murray TS, Shapiro ED. Lyme disease. Clin Lab Med. 2010 Mar;30(1):311-28. https://doi.org/10.1016/j.cll.2010.01.003
Garcia-Monco Juan Carlos, and Benach Jorge L. 2019 Lyme Neuroborreliosis: Clinical Outcomes, Controversy, Pathogenesis, and Polymicrobial Infections Ann Neurol. 2019 Jan; 85(1): 21–31. https://doi.org/10.1002/ana.25389
Ford L, Tufts DM. Lyme Neuroborreliosis: Mechanisms of B. burgdorferi Infection of the Nervous System. Brain Sci. 2021 Jun 15;11(6):789. https://doi.org/10.3390/brainsci11060789
Koedel U, Fingerle V, Pfister HW. Lyme neuroborreliosis-epidemiology, diagnosis and management. Nat Rev Neurol. 2015 Aug;11(8):446-56. https://doi.org/10.1038/nrneurol.2015.121
Rebman Alison W., Bechtold Kathleen T., Yang Ting. The Clinical, Symptom, and Quality-of-Life Characterization of a Well-Defined Group of Patients with Posttreatment Lyme Disease Syndrome Front Med (Lausanne). 2017 Dec 14;4:224. https://doi.org/10.3389/fmed.2017.00224
Javier A. Quintero, Raluchukwu Attah, Reena Khianey, Eugenio Capitle and Steven E. Schutzer Arthritis and Diagnostics in Lyme Disease Trop Med Infect Dis. 2021 Mar; 6(1): 18. https://doi.org/10.3390%2Ftropicalmed6010018
Krause P, Bockenstedt L. Cardiology patient pages. Lyme disease and the heart. Circulation. 2013 Feb 19;127(7):e451-4. https://doi.org/10.1161/circulationaha.112.101485
Rauer S, Kastenbauer S, Fingerle V. Lyme Neuroborreliosis. Dtsch Arztebl Int. 2018 Nov 9;115(45):751-756. https://doi.org/10.3238%2Farztebl.2018.0751
Udziela S, Biesiada G, Osiewicz M. Musculoskeletal manifestations of Lyme borreliosis - a review. Arch Med Sci. 2020 Jun 17;18(3):726-731. https://doi.org/10.5114%2Faoms.2020.96458
Lochhead RB, Strle K, Arvikar SL, Weis JJ, Steere AC. Lyme arthritis: linking infection, inflammation and autoimmunity. Nat Rev Rheumatol. 2021 Aug;17(8):449-461. https://doi.org/10.1038/s41584-021-00648-5
Radesich C, Del Mestre E, Medo K, Vitrella G, Manca P, Chiatto M, Castrichini M, Sinagra G. Lyme Carditis: From Pathophysiology to Clinical Management. Pathogens. 2022 May 15;11(5):582. https://doi.org/10.3390%2Fpathogens11050582
Scheffold N, Sucker C, Bergler-Klein J, Kaag N, Cyran J. Akute Myokarditis und Kardiomyopathie bei der Lyme-Borreliose [Acute myocarditis and cardiomyopathy in Lyme borreliosis]. Z Kardiol. 2000 Nov;89(11):1046-52. https://doi.org/10.1007/s003920070158
Scheffold N, Herkommer B, Kandolf R, May AE. Lyme carditis--diagnosis, treatment and prognosis. Dtsch Arztebl Int. 2015 Mar 20;112(12):202-8. https://doi.org/10.3238/arztebl.2015.0202
Yeung C, Baranchuk A. Diagnosis and Treatment of Lyme Carditis: JACC Review Topic of the Week. J Am Coll Cardiol. 2019 Feb 19;73(6):717-726. https://doi.org/10.1016/j.jacc.2018.11.035
Yezhong L and Ramin Z Characteristics of Lyme optic neuritis: a case report of Lyme associated bilateral optic neuritis and systematic review of the literaturę. BMC Neurol. 2022; 22: 113.Published online 2022 Mar 23. https://doi.org/10.1186%2Fs12883-022-02627-z.
Träisk F., & Lindquist, L. (2012). Optic nerve involvement in Lyme disease. Current Opinion in Ophthalmology, 23(6), 485–490. https://doi.org/10.1097/icu.0b013e328358b1eb
Maksimyan S, Syed MS, Soti V. Post-Treatment Lyme Disease Syndrome: Need for Diagnosis and Treatment. Cureus. 2021 Oct 12;13(10):e18703. https://doi.org/10.7759/cureus.18703
Ścieszka J, Dąbek J, Cieślik P Post-Lyme disease syndrome Reumatologia. 2015; 53(1): 46–48. Published online 2015 Apr 10. https://doi.org/10.5114/reum.2015.50557
Talbot NC, Spillers NJ, Luther P. Lyme Disease and Post-treatment Lyme Disease Syndrome: Current and Developing Treatment Options. Cureus. 2023 Aug 8;15(8):e43112. https://doi.org/10.7759/cureus.43112
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Copyright (c) 2024 Martyna Dutka, Radosław Bernacki, Piotr Bernacki, Witold Zardzewiały, Klaudia Skrzyńska, Oleksii Zaremskyi, Kamil Fuszara, Dominika Mordasiewicz, Krzysztof Mendyk
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