Effect of Gender on Clinical And Epidemiologic Features of Lyme Borreliosis

Bennet, Louise; Stjernberg, Louise; Berglund, Johan

doi:10.1089/vbz.2006.0533

Cited by 41 publications

(31 citation statements)

References 23 publications

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“…A prospective clinical study which was performed in Sweden confirmed higher risk and prevalence of Lyme borreliosis in females above 40 years of age in comparison with males of comparable age. Females older than 40 years had this disease more often than younger females (Bennet et al 2007). In Slovakia, similar to the situation in the USA, Sweden, Bulgaria or Germany, there is a bimodal age distribution pattern of LB with the first peak in the age groups from 5 to 9 years and the second peak in the age group from 55 to 64 years (in Bulgaria, from 45 to 49, resp.…”

Section: Discussionmentioning

confidence: 58%

Lyme borreliosis—analysis of the trends in Slovakia, 1999–2008

et al. 2011

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Lyme borreliosis (LB) presents as one of the most frequent tick-borne diseases in Europe with more than 85,000 reported cases every year. The transport of this disease on humans is by tick species of the genus Ixodes. In our work, we aimed to perform a retrospective analysis of the incidence and seasonality of Lyme borreliosis during the period 1999-2008 in Slovakia. For our analysis, we used all the relevant data about the patients with Lyme borreliosis reported in the Epidemiological Informative System of Communicable Diseases in Slovakia during the decade of 1999-2008. During the observed period, there were 7,349 reported cases of LB in Slovakia. Whereas the incidence of early localized infection did not change during the observed period, there was a significant increase in the incidence of early disseminated infection and late persistent infection of LB. Seventy per cent of all patients was infected by tick bite. LB was more frequently reported in females than in males (56.1% vs. 43.9%; p < 0.05), and the most involved age group was the productive age (15-64 years). The incidence of disseminated infection and persistent infection was rising with increasing age. Regarding the seasonality of LB, we found the highest incidence during the summer months. Comparing the situation of LB in 1999 and 2008, significant increase in the number of reported cases was in April and June and from September to November (p < 0.05). Our epidemiological analysis confirmed that Lyme borreliosis requires increased attention due to its increasing incidence.

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Section: Discussionmentioning

confidence: 58%

Lyme borreliosis—analysis of the trends in Slovakia, 1999–2008

et al. 2011

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“…Since becoming a nationally notifiable disease in the United States in 1991, a total of 248,074 Lyme disease cases were reported to the Centers for Disease Control. During Borderline (n = 2) 2 0 (10). It was reported in Turkey that Lyme positivity was higher in women in Samsun (11).…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Borrelia burgdorferi sensu lato seroprevalencein the province of Bolu, Turkey*

Bucak¹,

Koçoğlu²,

Taş³

et al. 2016

Turk J Med Sci

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disease is a multisystemic disease caused by Borrelia species, and it is transmitted to humans by ticks of the species Ixodes. There are three genotypes of the Lyme disease agent: Borrelia burgdorferi sensu stricto, Borrelia garinii, and Borrelia afzelii. They are grouped together under the name B. burgdorferi sensu lato (1). The causative agent of Lyme disease, B. burgdorferi, was isolated in 1982 (2). Lyme disease is evident in three stages. The first stage includes erythema migrans (EM) and needs no serological testing. Diagnosis becomes more difficult in the second and third stages. In such cases, two-step diagnosis is necessary. The first step is based on an enzymelinked immunosorbent assay (ELISA) test, and positive results should be confirmed by Western blot (WB) (3). Cross-reactions have been found between antibodies to syphilis, leptospirosis, relapsing fever, varicella, infectious mononucleosis, and some autoimmune diseases (systemic lupus erythematosus, rheumatoid arthritis), and ELISA tests may provide false positive results so the results should be confirmed by WB (4). This disease is a common tick-borne zoonosis in European countries and the United States. In Turkey, the first cases were reported in 1990 in the Black Sea and Aegean regions (1). Because Lyme disease is not a compulsory notification disease in Turkey and due to confusion with clinical signs of other diseases, the exact prevalence is not known.In the present study, the aim was to determine the seroprevalence of Borrelia burgdorferi sensu lato in the city center and the province of Bolu, Turkey.

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“…7). 14,[113][114][115][116][117][118] The number of reported cases in the United States is highest among boys aged 5 to 9. 14 A shift in more infections in men has been observed in recent years.…”

Section: Risk Factors For Lyme Diseasementioning

confidence: 99%