Treatment of Lyme neuroborreliosis with plasmapheresis

Çelik, Tamer; Çelik, Ümit; Kömür, Mustafa; Tolunay, Orkun; Dönmezer, Çiğdem; Yıldızdaş, Dinçer

doi:10.1002/jca.21430

Cited by 7 publications

(6 citation statements)

References 27 publications

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“…After the detailed search with the removal of duplicates and articles, which were non-full text or did not meet the PICO criteria (Table 1), a total number of 36 studies were included in our review. 8–43 None of the papers were meta-analyses or systematic reviews or randomised controlled trials.…”

Section: Resultsmentioning

confidence: 99%

“…2 Studies from South Asia have documented postnatal depression rates in the range of 19.8-28%. [3][4][5] Other mental disorders in pregnancy mainly reported in the West include: generalised anxiety disorder (8.5%); 6,7 panic disorder (1-2%); 6 post-traumatic stress disorder (PTSD) (3.5%); 7,8 obsessive-compulsive disorder (OCD) (0.2-1.2%); 6,7 anorexia (1.4%); 9 bulimia (1.6); 9 alcohol abuse (7%); 10 and postpartum psychosis (0.1-0.2%). 11 Poor psychological transitioning into parenthood is thought to underlie perinatal mental disorder and all women can develop mental disorder during or after pregnancy, but poverty, migration, extreme stress, unemployment, exposure to violence, emergency and conflict situations, natural disasters, food insecurity, low social support and HIV/AIDS common in sub-Saharan Africa (SSA) are believed to increase the risk…”

Section: Introductionmentioning

confidence: 99%

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Systematic review of Lyme disease in Turkey

et al. 2019

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A systematic review was conducted with the aim of describing the demographical data, features and outcomes of patients with Lyme disease (LD), reported from Turkey. Three international database (electronic PubMed, Web of Science and Scopus) and two national database (Ulakbim and Turkmedline) searches were performed using the following keywords ([‘Lyme’ or ‘Borrelia burgdorferi’ or ‘Borrelia’ or ‘Borreliosis’] and ‘Turkey [and/country]’). National Notifiable Diseases Surveillance System (NNNDS) of Centers for Disease Control and Prevention (CDC) criteria were used for classification. A PRISMA-based algorithm was used for systematic review. There were a total of 75 LD cases in 36 different reports. Studies related to LD are confined to case reports. We believe that LD is an important healthcare problem in Turkey and to our knowledge this is the first systematic review from this country.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Systematic review of Lyme disease in Turkey

et al. 2019

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“…In pediatric population, many neurologic disorders associated with the Lyme disease have been reported [2,[7][8][9][10]. The classical clinical manifestations are lymphocytic meningitis, radiculoneuritis and cranial neuritis [11].…”

Section: Case Presentationmentioning

confidence: 99%

“…In the literature, both GBS and Guillain-Barre-like syndrome were described [7,13]. We still don't know whether we are looking at GBS following an immune response triggered by Lyme disease, or if it's Lyme disease mimicking GBS, or, indeed, if the two coexisted.…”

Section: Case Presentationmentioning

confidence: 99%

Plasma Exchange for Neuroborreliosis Associated with Guillain Barre Syndrome

Elleuch¹

2021

Journal of Case Reports and Studies

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Lyme neuroborreliosis (LNB) is a rare infectious disorder of the nervous system caused by Borrelia burgdorferi spirochetes.Different neurological conditions were reported in the disease.We report a case of LNB in a 4-year-old boy with abdominal pain as first symptom and following onset of symmetrical ascending progression of weakness causing severe respiratory failure. The patient was diagnosed initially with Guillain-Barre syndrome (GBS). Despite the fact that he had received Intravenous immunoglobulin (IVG) treatment, upper and lower muscle weakness and respiratory failure did not recover. Second dose of IVG treatment was started but the patient didn't get better. Diagnosis of LNB was made by detection of specific antibody in serum with neuro-radiological images suggestive for this infectious disease. After a 2-week course of third-generation cephalosporin, the outcome was favorable with improvement in muscle tone but persistence of respiratory muscle failure with two extubation failures. Therefore administration of plasmapheresis was decided. All symptoms relieved following this treatment. Conclusion:This case report shows that Pediatricians must consider Lyme disease in the differential diagnosis of GBS, especially in countries where the infection is endemic. This case shows that plasmapheresis could be effective for pediatric neuroborreliosis cases.

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“…Yine Erol ve diğ., aynı yıl tıp literatüründeki altıncı borrelyozla ilişkili pediyatrik transvers miyelit vakasını yayımlamışlardır 34 . Çelik ve diğ., ataksili bir çocuğa B. burgdorferi'ye bağlı Guillain-Barré sendromu tanısı koymuşlar ve intravenöz immünoglobüline yanıt vermeyen hastalarını plazmaferezle sağlığına kavuşturarak pediyatrik nöroborelyozun tedavisinde plazmaferezin yararlı etkisini belgelemişlerdir 35 .…”

Section: Türkiye'den Seçilmiş Lyme Vakalarıunclassified

Türkiye'de Lyme Hastalığı

Öncel

2018

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi

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Lyme hastalığı, Batı Avrupa’da ve Amerika Birleşik Devletleri’nin kuzeydoğusunda en sık görülen vektör kaynaklı hastalıktır. Lyme hastalığı, bildirimi zorunlu bir hastalıktır. Türkiye’de çeşitli bölgelerden Lyme hastalığına yönelik seroprevalans çalışmaları ve vaka bildirimleri olmasına karşın, geniş epidemiyolojik araştırma bulunmamaktadır.Hastalık, adını Amerika Birleşik Devletleri’nin Connecticut eyaletindeki Old Lyme köyünden almaktadır ve ilk kez 1980'lerin başında Willy Burgdorfer tarafından yalıtılan etkenleri arasında Borrelia burgdorferi sensu stricto, B. garinii, B. afzelii ve B. mayonii bulunmaktadır.Lyme hastalığı etkenleri, Ixodes cinsi kenelerle bulaşır. Bu keneler larva, nimfa ve erişkinlik evrelerinde kemirgenlerin, kuşların, geyiklerin veya insanların ektoparaziti olarak barınabilir. İnsanlar, borrelya spiroketlerinin doğal yaşam siklusunun bir parçası değildirler.Türkiye’de Lyme hastalığının yayılması için gerekli ekosistemin mevcut olduğu iklim özellikleri; sığır, koyun, keçi, tilki ve kaplumbağalarda saptanan vektör keneler ve en önemlisi, Borrelya ile enfekte Ixodes ricinus türü keneler bakımından kesinleşmiştir. Türkiye'de insanlarda Lyme seropozitifliği %2-44 arasında değişmektedir.Türkiye'den sunulan Lyme vakalarının uluslararası tıp literatürüne katkısı, daha çok pediyatrik nöroborelyoz vakalarında öne çıkmaktadır. Literatürdeki altıncı borrelyozla ilişkili pediyatrik transvers miyelitin ve intravenöz immünoglobüline yanıt vermeyen, B. burgdorferi’ye bağlı Guillain-Barré sendromlu bir çocukta plazmaferezin yararının bildirildiği vaka sunumları buna güzel örneklerdir.2010 yılına kadar yaklaşık 60 olgunun bildirildiği ve günümüze değin bildirilmiş vaka sayısının 80’i geçmediği Türkiye'de Lyme hastalığı, medyadaki bazı desteksiz iddialara karşın, şimdilik büyük bir sağlık sorunu olarak görünmemektedir

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Treatment of Lyme neuroborreliosis with plasmapheresis

Cited by 7 publications

References 27 publications

Systematic review of Lyme disease in Turkey

Systematic review of Lyme disease in Turkey

Plasma Exchange for Neuroborreliosis Associated with Guillain Barre Syndrome

Türkiye'de Lyme Hastalığı

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