Roseolar Lesions in Lyme Disease: Isolation of the Causative Agent

Trevisan, Giusto; Cinco, Marina; Agolzer, Antonina

doi:10.1111/j.1365-4362.1992.tb02703.x

Cited by 5 publications

(6 citation statements)

References 7 publications

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“…Roseolar lesions are not typical LD manifestations (4-6); they were described emphasizing that LD resemble syphilis, a disease that shares the same spirochetotic aetiology and clinical polymorphism (4). In this case, roseolar lesions disappeared one month after the large patch without any correlation with antibiotic therapy.…”

Section: Discussionmentioning

confidence: 87%

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Borrelia Infection and Pityriasis Rosea

Stinco¹,

Ruscio²,

Proscia³

et al. 2009

Acta Derm Venerol

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Section: Discussionmentioning

confidence: 87%

“…Viral and bacterial causes have been proposed, but convincing answers have not yet been found (3). A link between Borrelia burgdorferi and PR was suggested in the 1990s and a roseolar eruption has been reported as a clinical manifestation of the second stage of Lyme disease (LD) (4,5).…”

Section: Sirmentioning

confidence: 98%

Borrelia Infection and Pityriasis Rosea

Stinco¹,

Ruscio²,

Proscia³

et al. 2009

Acta Derm Venerol

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“…Roseolic erythema is a rarely observed manifestation, but in dermatology it is important to report it, as it recalls roseola due to another spirochetosis, syphilis. In one case Borrelia garinii was isolated from the roseolar lesion biopsy in BSK medium [66]. In Figure 6, the presence of roseolic erythema in association with the ECM is documented.…”

Section: Early Disseminated Phase or 2 Nd Stagementioning

confidence: 93%

Borrelia Lyme Group

Trevisan¹,

Cinco²

2022

J Dermatol Res Rev Rep

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Borreliaceae is a family of the phylum Spirochaetales and includes two genera, Borrelia and Cristispira genus. Borrelia genus is divided into three groups, namely Lyme group (LG), Echidna‐Reptile group (REPG) and Relapsing Fever group (RFG). All Borrelia species have an obligate parasitic lifestyle, as they depend on their hosts for most of their nutritional needs. Borreliæ are transmitted among vertebrate hosts by arthropod vectors (ticks and lice). Transtadial transmission within their carriers occurs for the Borreliæ RF Group, while this does not (or rarely occurs) for the Borreliæ Lyme Group.

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“…[ 2 47 ] Microbiologically confirmed case of a congenital B. garinii infection with multiple EM at birth and rapid recovery after antibiotic therapy in a child born to a mother with EM during pregnancy has been reported. [ 48 ] Borrelia was also isolated from blood in seven antenatal women with EM in another study, and early treatment with intravenous ceftriaxone led to an uneventful gestational outcome reflecting that treatment of at-risk pregnant women will be prophylactic for the newborns. [ 49 ]…”

Section: Lyme Disease In Pregnant Women and Childrenmentioning

confidence: 99%

Lyme disease: An overview

Mahajan

2023

Indian Dermatol Online J

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Lyme disease, a tick-borne multisystem disease, is caused by spirochete Borrelia burgdorferi (sensu lato) . It is a common illness in temperate countries, especially the United States, but the incidence is increasing across continents due to increasing reforestation, travel and adventure tourism, increased intrusion in the vector habitat, and changing habitat of the vector. Transmission primarily occurs via bite of an infected tick ( Ixodes spp.). The appearance of an erythema migrans rash following a tick bite is diagnostic of early Lyme disease even without laboratory evidence. Borrelia lymphocytoma and acrodermatitis chronica atrophicans along with multisystem involvement occur in late disseminated and chronic stages. A two-step serologic testing protocol using an enzyme-linked immunosorbent assay (ELISA) followed by confirmation of positive and equivocal results by Western immunoblot is recommended for the diagnosis. Transplacental transmission to infant occurs in the first trimester with possible congenital Lyme disease making treatment imperative during antenatal period. The treatment is most effective in the early stages of the disease, whereas rheumatological, neurological, or other late manifestations remain difficult to treat with antibiotics alone. Treatment with oral doxycycline is preferred for its additional activity against other tick-borne illnesses which may occur concurrently in 10%–15% of cases. New-generation cephalosporins and azithromycin are alternative options in patients with doxycycline contraindications. No vaccine is available and one episode of the disease will not confer life-long immunity; thus, preventive measures remain a priority. The concept of post–Lyme disease syndrome versus chronic Lyme disease remains contested for want of robust evidence favoring benefits of prolonged antibiotic therapy.

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Roseolar Lesions in Lyme Disease: Isolation of the Causative Agent

Cited by 5 publications

References 7 publications

Borrelia Infection and Pityriasis Rosea

Borrelia Infection and Pityriasis Rosea

Borrelia Lyme Group

Lyme disease: An overview

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