• MMW Fortschr Med · Jun 2006

    Review

    [Early diagnosis of Lyme borreliosis].

    • H Hofmann.
    • Klinik und Poliklinik für Dermatologie und Allergologie der TU München. h.hofmann@lrz.tum.de
    • MMW Fortschr Med. 2006 Jun 22; 148 (25): 32, 34, 36.

    AbstractThe local inflammatory reaction following a tick bite varies considerably, so that in particular the frequently atypical variations result in a wrong diagnosis and thus to inappropriate treatment. If a tick bite is followed within three weeks by flue-like or neurological symptoms, or joint swelling in the vicinity of the bite, a serological investigation work-up should be carried out. In the early stage, however, Borrelia-specific antibodies can be detected in only 30-80% of the patients. However, during the further course of the illness, the specific IgM and IgG antibody titers almost always increase.

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