[Erythema migrans]

Lenka Krbková1, Zuzana Náterová

  • 1Clinic of Pediatric Infectious Diseases, The University Hospital Brno, Czech Republic. lkrbkova@fnbrno.cz

Insights

Erythema migrans (EM), a skin manifestation of Lyme borreliosis (LB), is detailed, including new Borrelia genospecies. This review covers EM

Area of Science:

  • Dermatology and Infectious Diseases
  • Microbiology and Vector-borne Diseases

Context:

  • Erythema migrans (EM) is the most frequent clinical presentation of Lyme borreliosis (LB).
  • Focus on the Czech Republic (CR) highlights regional epidemiology and diagnostics.
  • Emergence of new Borrelia genospecies (B. lusitaniae, B. spielmanii) necessitates updated understanding.

Purpose:

  • To provide a comprehensive overview of current knowledge on erythema migrans.
  • To detail the etiology, epidemiology, pathogenesis, clinical presentation, diagnosis, and therapy of EM.
  • To discuss differential diagnoses and therapeutic strategies for EM in the CR.

Summary:

  • Summarizes etiology, epidemiology, pathogenesis, clinical signs, diagnostics, and therapy of erythema migrans (EM).
  • Highlights new Borrelia genospecies (B. lusitaniae, B. spielmanii) and their presence in European ticks.
  • Compares EM clinical forms and differential diagnoses between Europe and the USA; discusses diagnostic methods and antibiotic choices.

Impact:

  • Enhances understanding of Lyme borreliosis diagnostics and treatment.
  • Provides clinicians with up-to-date information for managing erythema migrans.
  • Contributes to public health awareness regarding tick-borne diseases and their manifestations.

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