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Published on: February 4, 2018
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.
Introduction:
Lyme borreliosis (LB) in the paediatric population is an understudied entity with certain peculiarities. The objective of this study is to describe the characteristics of paediatric patients with LB, and their diagnostic and therapeutic processes.
Methods:
Descriptive and retrospective study in patients up to 14 years old with suspected or confirmed LB between 2015 and 2021.
Results:
A total of 21 patients were studied: 18 with confirmed LB (50% women; median age 6.4 years old) and 3 false positive of the serology. Clinical features in the 18 patients with LB were: neurological (3, neck stiffness; 6, facial nerve palsy), dermatological (6, erythema migratory), articular (1), and non-specific manifestations (5). Serological diagnosis was confirmatory in 83.3% of cases. A total of 94.4% patients received antimicrobial treatment (median duration, 21 days). All recovered with resolution of symptoms.
Conclusions:
LB diagnosis is difficult in the paediatric population and presents clinical and therapeutic peculiarities, with favourable prognosis.
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