Lyme borreliosis in pediatric population: Clinical, diagnostic and therapeutic features

Ana Rubio Granda1, María Fernández-Miaja1, Mercedes Rodríguez Pérez2

  • 1Área de Gestión Clínica de Pediatría, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.

Insights

Pediatric Lyme borreliosis (LB) presents unique challenges. This study highlights the diagnostic and treatment specifics in children, showing a favorable prognosis with timely antimicrobial therapy.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Clinical Research

Background:

  • Lyme borreliosis (LB) in children is not well-studied.
  • Pediatric LB has unique characteristics and diagnostic challenges.

Purpose of the Study:

  • To describe the clinical features of pediatric Lyme borreliosis.
  • To outline the diagnostic and therapeutic approaches for children with LB.

Main Methods:

  • Retrospective descriptive study.
  • Included patients up to 14 years old with suspected or confirmed LB from 2015-2021.

Main Results:

  • 18 confirmed LB cases among 21 patients; median age 6.4 years.
  • Common symptoms included neurological (e.g., facial nerve palsy) and dermatological (erythema migrans).
  • Serology confirmed diagnosis in 83.3%; 94.4% received antimicrobial treatment for a median of 21 days, with full recovery.

Conclusions:

  • Diagnosing LB in children is complex and has specific clinical and therapeutic features.
  • Pediatric Lyme borreliosis has a positive prognosis with appropriate treatment.
Abstract

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