Borreliosis (Lyme disease)

Borreliosis, also known as Lyme disease, is caused by the spiral bacterium Borrelia burgdorferi. This is the most commonly diagnosed tick-borne disease. Although it has been known for over 100 years, it was not until 1982 that Willy Burgdorfer discovered that it was caused by bacteria found in the intestines of ticks.

Lyme disease can have serious health impacts, so it is important to see a doctor if you suspect you have this infection. Treatment usually involves taking antibiotics to kill the bacteria.

It is important to remember that only the bite of an infected tick can provoke borreliosis. Therefore, to prevent illness, taking precautions when in open spaces, including using tick repellent, wearing protective clothing, and checking your body for ticks after walking in woods or long grass is recommended.

Symptoms

Lyme disease occurs in several stages, each with unique symptoms. Here is general information about the manifestations of each stage:

1. Early stage (stage I):

  • Erythema migrant (erythema annulare): one of the most characteristic signs of Lyme disease. This is a rash, round, or oval spot with a red border and a pale center. Erythema migrant can be single or multiple and spreads from the tick bite site.
  • Flu-like symptoms: muscle and joint pain, fever, fatigue, headache, tender lymph nodes, and a general feeling of malaise.

2. Early disseminated stage (stage II):

  • Neurological manifestations: headache, tingling, numbness in the extremities, facial paralysis (unilateral or both sides of the face), seizures, mood changes, and sleep disturbances.
  • Cardiac signs: possible heart rhythm disturbances, tingling, and chest pain.
  • Skin manifestations: the appearance of erythema migrans in new areas of the body or the appearance of other types of rashes.

3. Late stage (stage III):

  • Arthritis: Joint symptoms include pain, inflammation, swelling, and limited movement in one or more joints, usually large joints (such as knees or elbows).
  • Neurological signs: continuation of neurological manifestations such as tingling and numbness in the extremities, muscle weakness, increasing coordination problems, loss of balance and dizziness, and severe asthenia.
  • Cardiac symptoms: Possible cardiac problems, such as inflammation of the myocardium or pericardium.
  • Other manifestations: chronic fatigue, problems with memory and concentration, chronic pain, and a state of deterioration in general well-being.

However, the degree and combination of symptoms may vary between patients. If you suspect Lyme disease, it is recommended that you consult a VIVERE CLINIC doctor for diagnosis and treatment. Only an experienced specialist can evaluate the signs and make the correct diagnosis.

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Causes

The main ways of occurrence of borreliosis:

  1. Bite of an infected tick. The most common method of transmission of Lyme disease. Ticks that carry the bacterium Borrelia burgdorferi can transmit the infection when they attach to human skin and begin feeding. The bacteria are transferred from tick to person during this process, usually after several hours or even days of attachment.
  2. Contact with tick feces on injured skin (scratches, cuts). Another possible route of infection.
  3. Incorrect tick removal. It can also lead to infection with borreliosis. If the animal is removed incorrectly, the contents of its stomach with bacteria may be released onto the skin, which leads to infection.

Once ingested, Borrelia burgdorferi bacteria can spread throughout the body through the systemic bloodstream. This allows them to affect different organs and tissues and cause different manifestations.

Diagnostics

Diagnosis of Lyme disease is based on a combination of clinical symptoms, history of exposure to ticks, and the results of specific laboratory tests. Here are a few methods that are commonly used in the diagnostic process:

  1. History and physical examination: The doctor examines you and asks questions about signs of illness, exposure to ticks, and previous travel to endemic areas.
  2. Laboratory tests:
  • Enzyme-linked immunosorbent assay (ELISA): ELISA helps detect antibodies to the bacterium Borrelia burgdorferi in the patient's blood. A positive result reflects exposure to the bacterium but does not always indicate an active infection.
  • Immunoblotting (Western blot): confirms the results of ELISA and helps identify specific antibodies to various components of the bacterium Borrelia burgdorferi, improving diagnostic accuracy.
  • Polymerase chain reaction (PCR): Used to detect the DNA of the B. burgdorferi bacterium in samples of blood, synovial fluid, or other tissue.
  1. Magnetic resonance imaging (MRI) is not a primary diagnosis method of Lyme disease. It is used in cases where there is a suspicion of developing neurological complications or Lyme infection in the central nervous system. An MRI provides detailed images of the brain, spinal cord, and other body parts to look for signs of inflammation, changes, or damage.

It is important to note that accurately diagnosing Lyme disease can be difficult and also depends on the patient's condition and symptoms. If you suspect borreliosis, you should consult a doctor for a detailed consultation and diagnostic evaluation.

Prevention

It is important to remember precautions to prevent Lyme disease, including using repellents, wearing protective clothing where ticks are active, and properly removing attached ticks from the skin. If you suspect you have borreliosis or have been bitten by a tick, it is recommended that you immediately consult a doctor for diagnosis and treatment.

Treatment

Treatment for Lyme disease (borreliosis) involves using antibiotics to kill the bacterium Borrelia burgdorferi. The approach to treatment is individual and depends on the stage of the disease, the presence of complications, and other factors. General principles:

  • Early stage (stage I). Most cases of Lyme disease are treated with oral antibiotics. Doxycycline, amoxicillin, or cefuroxime are often used. The duration of treatment can vary from 10 to 21 days, depending on the doctor's recommendations.
  • Disseminated stage (stages II and III). For more common manifestations and complications, such as neurological or cardiac symptoms, systemic antibiotic treatment is required to prevent the spread of infection and minimize complications. In these cases, intravenous antibiotics such as ceftriaxone or penicillin G are sometimes used.

Regular follow-up examinations and laboratory tests are necessary to assess the effectiveness of treatment and monitor relapses. It is necessary to follow your doctor's recommendations and complete the full course of treatment to achieve the best results.

Recommendations

If a tick has bitten you and develop a rash, fever, or other unusual condition, it is important to contact the doctors at VIVERE CLINIC for medical attention. Only experienced professionals can assess your symptoms and provide appropriate advice and treatment.

It should be noted that in the event of a tick bite and suspected illness, early contact with doctors and professional medical care can be critical to prevent complications and timely initiation of treatment.



Price

At VIVERE CLINIC, we are committed to providing patients with affordable and effective treatment for Lyme disease. We recognize that this is a serious condition that requires careful medical attention and constant monitoring. Therefore, we are ready to offer optimal treatment plans, considering each patient's financial capabilities.

If you want quality treatment for borreliosis, contact VIVERE CLINIC. A team of specialists is ready to help fight this disease and restore health and active life. Contact us for detailed information about treatment costs and to schedule a consultation. We are ready to be with you every step to recovery.

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Протягом останнього року консультувалися з Макаром Васильовичем Шейко з приводу діагнозу та подальшої тактики лікування доньки. Отримали вичерпні відповіді на свої запитання, та насправді кваліфіковану допомогу. Можу сміливо радити лікаря як фахівця, що призначить лише потрібний обсяг досліджень, максимально глибоко та експертно оцінить результати - вважаю, саме в цьому полягає основна цінність консультації. І найголовніше - при зовнішній стриманості та небагатослівності, Макар Васильович дійсно переймається результатом лікування і прагне допомогти дитині, а не просто призначити препарати за протоколом. Щиро вдячна лікарю та клініці, сподіваюсь, з Вашою допомогою зможемо отримати добрі результати.

Світлана

Хочеться щиро подякувати Шейко Макару Васильовичу! За допомогу в вирішенні, лікуванні та правильному встановленню діагнозу нашої хвороби! Бо як виявилось сама більша проблема в тому щоб правильно встановити саме діагноз. Пред історія така .В дитини (14 років) в один прекрасний день опускається повіка, діагнозів в Охматдиті нам ставили багато, робили безліч обстежень але все марно ,поки шукали підтвердження, повіка самостійно піднялася. На цьому нам сказали все, пройшло і нічого не бачимо, можливо перехідний вік, як стане гірше звертайтесь. Так через місяць стало гірше, опускається ще одна повіка і додається двоїння в очах, швидка стомлюваність. Що ми пережили один Бог знає. Слава Богу що нам порадили клініку VІVERE, там ми потрапили на прийом до Макара Васильовича, чесно за пів години нам попередньо поставили діагноз (ми 4 місяці бігали по різних спеціалістах) а саме Мітохондріальна дисфункція, потрібно ще було доздавати аналізи. І відразу назначили лікування. Моєму подиву не було меж після першого прийому ліків призначених в дитини відразу стабілізувався стан очей, на протязі тижня пройшло двоїння (диплопія), дитина ожила. Відповідно ми ще лікуємось але дуже дякуємо за компетентність, уважність і правильний підхід.

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Лікуємо нашого хлопчика і бачимо позитивні результати, хлопчик став краще розмовляти, з'явився апетит, з'явилось бажання пробувати нові продукти, легше реагує на все, легше домовлятися. Дякую лікарю Володимиру Михайловичу Стефанишину.

Юрій

В клинике уютно и светло. Приятно удивляет всегда быстрое реагирование на вопросы и просьбы девушек-регистраторов, их доброжелательное отношение. Ни один вопрос в вайбере не остался без ответа. Дважды были с сыном на консультации у Шейко Макара Васильевича. Неординарный, профессиональный и, в то же время, душевный, можно сказать дружеский подход, к решению проблем пациента, у Макара Васильевича. Также 2 года назад мы были на приеме у иммунолога Мельник Леси Игоревны. Остались тоже очень довольны. Впечатлило глубокое понимание проблемы, а также достаточно доступное объяснение и интересное изложение информации.

Елена Моцарь

Доброго дня! Нарешті я написала відгук, вже півроку з вами) Я мама дитини, яка до 18 років мала купу діагнозів, які і близько не мали відношення до нашої хвороби! Уявіть, скільки часу було витрачено... лікування ніяке (звісно) не допомагало, а ставало ще гірше. Доки нам не порекомендували Шейко Макар Васильовича! Сказати, що Він нам допоміг , це нічого не сказати! Макар Васильович врятував мою Софію! Завдяки правильній діагностиці, ми маємо НАШ діагноз (рідке орфанне захворювання) і правильне лікування. Я бачу поліпшення, моя дитина як заново народилася! Макар Васильович - це дбайлива і дуже чутна Людина, якій довіряєш! На прийомі немає оцього бар'єру лікар-пацієнт, ви як прийшли до друга, який вас підбадьорить, вислухає. Дуже рекомендую!

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