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Updated: Sep 11, 2026

Detecting the Lyme Disease Spirochete, Borrelia Burgdorferi, in Ticks Using Nested PCR
Published on: February 4, 2018
[Borreliosis--still a diagnostic labyrinth]
Abstract:
Acrodermatitis chronica atrophicans and meningo-polyneuritis Garin-Bujadoux-Bannwarth following initial erythema migrans represent infectious diseases and may lead to diagnostic misinterpretation. Three case reports illustrate the spirochetal nature of these entities usually transmitted by ticks (Ixodes ricinus).
Insights
Acrodermatitis chronica atrophicans and meningo-polyneuritis are infectious diseases caused by spirochetes transmitted by ticks. These conditions, following erythema migrans, can be misdiagnosed.
Area of Science:
- Infectious Diseases
- Neurology
- Dermatology
Background:
- Acrodermatitis chronica atrophicans (ACA) and Garin-Bujadoux-Bannwarth syndrome (GBBS) are late manifestations of Lyme borreliosis.
- These conditions can present diagnostic challenges, potentially leading to misinterpretation.
Observation:
- Three case reports detail patients presenting with ACA and GBBS.
- Initial symptoms included erythema migrans, a characteristic rash of Lyme disease.
Findings:
- The cases illustrate the spirochetal etiology of both ACA and GBBS.
- The causative agent, a spirochete, is typically transmitted by the Ixodes ricinus tick.
Implications:
- Recognizing the spirochetal nature of ACA and GBBS is crucial for accurate diagnosis.
- Early and correct diagnosis facilitates timely and appropriate treatment of these tick-borne illnesses.
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