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a potential signal of bell's palsy after parenteral inactivated influenza vaccines: reports to the vaccine adverse event reporting system (vaers)--united states, 1991-2001.post-licensure experience with a new intranasal inactivated influenza vaccine in switzerland recently identified an increased risk for bell's palsy. we reviewed reports in the vaccine adverse event reporting system (vaers) to assess if parenteral inactivated influenza vaccines (influenza vaccines) may also increase the risk for bell's palsy.200415317028
community-level analysis of risk of vector-borne disease.ecological community structure is particularly important in vector-borne zoonotic diseases with complex life cycles. qualitative community model analysis may provide a meaningful alternative to standard population-based models of vector-borne disease. we built on recent mathematical developments in qualitative community modeling coupled with conventional biomathematical models of vector-borne disease transmission, to provide a procedure to analyze risk. using this procedure, we can hypothesize c ...200415289098
lyme disease on the rise. 200415239167
summer safety: avoiding lyme disease...and harmful sun exposure. 200415233097
attempt to control ticks (acari: ixodidae) on deer on an isolated island using ivermectin-treated corn.we report an attempt by an offshore island community to control the vector tick of lyme disease by providing ivermectin-treated corn to an isolated herd of free-ranging white-tailed deer, odocoileus virginianus zimmerman. medicated corn was supplied in troughs within the island village and from automatic feeders at remote sites during 5 consecutive fall and spring adult tick questing seasons. acaricide consumption was monitored by assaying its presence in fresh deer pellets and its concentration ...200015218916
take care: uptick in lyme disease likely. 200415195654
lyme disease--us, 2001-2002. 200415178737
[clinical manifestations and treatment of lyme disease].survey of criteria necessary to establish the diagnosis of lyme disease according to its definitions by various organizations and institutions in the usa and europe (european union concerted action on lyme borreliosis, centers for disease control and prevention, the international lyme and associated diseases society). in the discussion the authors present other possible clinical manifestations connected with the involvement of various organs. in the second part of their paper they describe patte ...200415100976
treatment of early lyme disease. 200415068989
risk perceptions and their relation to risk behavior.because risk perceptions can affect protective behavior and protective behavior can affect risk perceptions, the relations between these 2 constructs are complex and incorrect tests often lead to invalid conclusions.200415026296
factors influencing the utilization of lyme disease-prevention behaviors in a high-risk population.to evaluate factors motivating high-risk individuals to implement lyme disease-prevention behaviors.200415008035
what you need to know about ... lyme disease. 200414999828
lyme disease with magnesium deficiency. 200314979639
duration of antibiotic therapy for lyme disease. 200414970173
prevention research and rheumatic disease.prevention may occur in clinical, community, or population settings and is often classified into primary, secondary, and tertiary types. to provide a context for this review, we define the three types and provide general and arthritis-specific examples of prevention strategies. next, we highlight recently published longitudinal cohort and intervention studies that focus on arthritis prevention in the following topic areas: cognitive and behavioral strategies, obesity, exercise, and occupational ...200414770096
[clinical manifestations of 30 cases with lyme disease].to understand the clinical characteristics of lyme disease in children.200314761323
the jarisch-herxheimer reaction in ocular syphilis.a patient with ocular syphilis is presented. she experienced deterioration in vision following the commencement of treatment due to a jarisch-herxheimer reaction. this is a transient febrile illness that can occur in patients after the first adequate dose of an anti-microbial drug to treat infectious diseases such as syphilis, lyme disease and relapsing fever. however, a jarisch-herxheimer reaction occurring in a patient receiving treatment for ocular syphilis can be serious, resulting in the ra ...200314750386
lyme disease reporting for navy and marine corps (1997-2000).reported cases of lyme disease for navy and marine corps personnel during 1997-2000 are presented from data collected in the naval disease reporting system and the defense medical epidemiological database. naval disease reporting system identified 210 case subjects; 60% were men, 49% were family members, and 37% were active duty, and most originated in the second quarter of the calendar year. states reporting the greatest number of reports were connecticut (44%), north carolina (16%), rhode isla ...200314719627
[effect of interleukin 15 on the pmn activity in lyme borreliosis].in the present study, the effect was examined of rhil-15 on neutrophil (pmn) activity (locomotion, phagocytosis and nbt reduction) in patients with lyme disease. we found an increase of all parameters after il-15 stimulation. the sera from the patients contained increased level of il-15 in relation to controls. the results obtained indicate the modulatory effect of il-15 on the pmn activity during lyme disease.200314679850
lyme disease presenting with persistent headache.increased intracranial pressure in patients with lyme disease is an uncommon but reported finding. we discuss 2 patients from lyme endemic areas who initially presented with headache, nausea, and vomiting and were eventually found to have increased intracranial pressure, a mild cerebrospinal fluid pleocytosis, and positive lyme titers. it has been shown that increased intracranial pressure in association with neuroborreliosis can lead to blindness. in endemic areas, it is important for practitio ...200314654649
bull's eye: unraveling the medical mystery of lyme disease. 200314619348
wegener's granulomatosis with cardiac involvement masquerading as lyme disease.cardiac conduction disease is an infrequent complication of wegener's granulomatosis (wg). we describe a case demonstrating an association between wg and complete atrioventricular dissociation. this manifestation was initially interpreted as lyme disease based on these cardiac findings, arthritis, myalgias and positive lyme serology. the clinical overlap between these disorders and the appropriate use of respective serologies is discussed.201714611118
[pain, fatigue, depression after borreliosis. antibiotics used up--what next?].antibiotic treatment--usually stage-dependent in terms of the active agent, duration and form of application--is the central pillar in the management of lyme disease. in the late stages of borreliosis, symptoms may persist despite extensive and repeated antibiotic treatment. in this phase, borreliosis-typical neuropathy and neuralgia, chronic fatigue and neuropsychological deficits predominate. irrespective of whether renewed antibiotic treatment is indicated or not, symptomatic treatment must b ...200314603682
presence and indigenous nature of lyme disease in southern italy.lyme disease is very common in the countries of the northern hemisphere. in italy it is endemic in some regions of the northern part of the country and it is more frequent during summer. in calabria (south italy) no cases have been reported. to document the presence and indigenous nature of lyme disease in this territory we conducted a study from 1999 to 2002. we defined as indigenous cases those with erythema migrans with the following characteristics: dimensions equal to or greater than 5 cm; ...200314596350
lyme disease and optic neuritis: long-term follow-up of seropositive patients. 200314581701
[epidemiology and therapy of lyme arthritis and other manifestations of lyme borreliosis in germany: results of a nation-wide survey].only little is known about the epidemiology of lyme borreliosis in germany. as an example, it is still unclear if there are regional differences in the incidence of lyme disease in general or of certain clinical manifestations like lyme arthritis. moreover, standardization of diagnostic or therapeutic procedures does not exist. therefore, a germany-wide questionnaire-based survey was conducted in order to achieve more epidemiological data and to obtain more information about the diagnostic and t ...200314579032
[neuroimaging in lyme disease].imaging techniques are commonly used in the diagnostics of the central nervous system disorders. abnormalities found using mri and mrs in neuroborreliosis patients are described.200314560707
cerebral vasculitis with multiple infarcts caused by lyme disease. 200414534380
facial nerve palsy associated with lyme disease. 200314506728
lyme disease--what is the cost for scotland?this paper analyses likely lyme disease costs incurred by patients tested in the authors' laboratory over an 18 month period, based on patient histories and test results relating to 2110 samples submitted from laboratories serving 59% of the scottish population. cost analysis takes account of the direct costs of consultation, laboratory tests, antibiotic treatment and management of any sequelae, as well as indirect costs of the loss of healthy time through illness. standard costs for each elemen ...200312966749
regional cerebral blood flow and cognitive deficits in chronic lyme disease.this study examined brain functioning in patients with lyme encephalopathy. eleven patients underwent neuropsychological tests and xenon(133)-regional cerebral blood flow (rcbf) studies, using an external detector system. each rcbf scan was age- and sex-matched to two archival, normal controls. while few differences were noted on gray-matter flow indices (isi, fg), lyme patients demonstrated significant flow reductions in white matter index (k(2)) (p=.004), particularly in the posterior temporal ...200312928508
[the diagnosis and treatment of lyme disease: a report of six cases].we retrospectively analyzed the clinical features, diagnosis, treatment, and prognosis of 6 cases of lyme disease from november, 1994 to december, 1998. according to our report, doxycycline, penicillin, and ceftriaxone are effective drugs for lyme disease. the shorter the disease course is, the better the treatment effect will be. patients in phase iii usually need repeated treatment.200012903460
[regular medical check-up on patients with lyme disease]. 200012886539
a case presentation of bilateral simultaneous bell's palsy.bilateral simultaneous facial paralysis is an extremely rare clinical entity. unlike the unilateral form, bilateral facial paralysis seldom falls into bell's category. it is most often a special finding in a symptom complex of a systemic disease; many of them are potentially life-threatening, and therefore the condition warrants urgent medical intervention. lyme disease, guillian-barre syndrome, bell's palsy, leukemia, sarcoidosis, bacterial meningitis, syphilis, leprosy, moebius syndrome, infec ...200712884223
cardiac conduction disturbances in lyme disease.a young patient is described presenting with third-degree atrioventricular block, who had a flu-like syndrome a few weeks before admission. the diagnosis of lyme disease was suspected by serologic antibody detection and confirmed by western immunoblot assay. pacing was necessary because an unstable escape rhythm persisted. after treatment, atrioventricular conduction recovered. lyme disease, a tick borne disease, is discussed with emphasis on cardiac involvement: atrioventricular block is a freq ...200312846512
treating post lyme disease: trying to solve one equation with too many unknowns. 200312821728
lyme disease in children. an overview. 200312807061
long-term outcomes of persons with lyme disease. 200212804170
the presenting manifestations of lyme disease and the outcomes of treatment. 200312802042
how can we prevent lyme disease? 200312802029
case 1: enlarging lesion on right inner thigh. diagnosis: erythema chronicum migrans caused by lyme disease. 200312780734
complete heart block due to lyme carditis.lyme carditis is becoming a more frequent complication of lyme disease, primarily due to the increasing incidence of this disease in the united states. cardiovascular manifestations of lyme disease often occur within 21 days of exposure and include fluctuating degrees of atrioventricular (av) block, acute myopericarditis or mild left ventricular dysfunction and rarely cardiomegaly or fatal pericarditis. av block can vary from first-, second-, third-degree heart block, to junctional rhythm and as ...200312777681
longitudinal evaluation of an educational intervention for preventing tick bites in an area with endemic lyme disease in baltimore county, maryland.the authors attempted to determine whether a targeted educational intervention in an area with endemic lyme disease could increase knowledge, positive attitudes, and reported behaviors related to tick bite prevention and consequently decrease tick bites, as measured by a biomarker of tick bites. between april and september of 1999, 317 subjects in baltimore county, maryland, were randomized to receive either tick-related or general health-related educational materials bimonthly through the mail. ...200312777368
lyme disease trends--dutchess county, new york, 1992-2000.lyme disease is a vector-borne infectious disease, accounting for more than 95% of all reported vector-borne illness in the united states. from 1992 2000, dutchess county reported more cases of lyme disease than any other county in the united states, consistently ranking among the top ten in incidence rates. we analyzed 1992-2000 dutchess county lyme disease surveillance data to characterize lyme disease trends, identify high-risk populations, and examine the frequency of the characteristic lesi ...200312764540
summaries for patients. duration of antibiotic treatment for early lyme disease. 200312729446
duration of antibiotic therapy for lyme disease. 200312729432
duration of antibiotic therapy for early lyme disease. a randomized, double-blind, placebo-controlled trial.treatment of patients with early lyme disease has trended toward longer duration despite the absence of supporting clinical trials.200312729423
[cranial neuritis with enhancement on post-contrast mri due to lyme disease].we report a case of lyme disease presenting as an oculomotor nerve palsy and meningitis. t1-weighted postcontrast magnetic resonance images showed marked enhancement of the right third, fifth and sixth nerves. this case illustrates neuroradiological features of cranial nerves during neuroborreliosis.200312703053
ordering and interpreting rheumatologic laboratory tests.many mechanical and systemic conditions can cause joint pain and synovitis. when rheumatologic illness is suspected, the initial evaluation begins with an accurate history, physical examination, and selective use of confirmatory testing, which can help avoid common pitfalls inherent in serologic evaluation. tests for erythrocyte sedimentation rate, c-reactive protein level, rheumatoid factor, antinuclear antibodies, anticardiolipin antibodies and lupus anticoagulant, hla-b27, uric acid level, an ...200512699372
taking a bite out of lyme disease. 200312690242
medical risks of wilderness hiking.we sought to determine the extent to which injuries and illnesses limit long-distance or endurance outdoor recreational activities.200312681456
[diaphragmatic paralysis and arthromyalgia caused by lyme disease]. 200312666311
a lyme disease case study and individualized healthcare plan.the atlantic and pacific coasts are the boundaries of lyme disease with the northeastern and midwestern regions of the united states continuing to report the majority of cases. new reported cases of lyme disease doubled from 1991 to 2001 according to statistics published by the centers for disease control and prevention. within that population are more children between the ages of 5 and 9. the younger the child, the more difficult it is to diagnose lyme disease. children under the age of 19 are ...200312653619
antibiotic prophylaxis for lyme disease: how the way of reporting a clinical trial can alter the perception of effectiveness. 200312622635
bone marrow manifestation of lyme disease (lyme borreliosis). 200312614200
cost-effectiveness, cost-utility, and cost-benefit studies in rheumatology: a review of the literature, 2001-2002.economic analyses of prevention and treatment interventions in rheumatology are potentially powerful tools for evaluating many complex decisions facing clinical and public policy makers. cost-effectiveness, cost-utility, and cost-benefit analyses allow for the assessment of the trade-offs between expended resources and expected health benefits. this review describes 12 cost-effectiveness analyses done in the past year. each relates to a different intervention for a variety of rheumatologic condi ...200312598799
simultaneous involvement of third and sixth cranial nerve in a patient with lyme disease.we report a 57-year-old woman with neuroborreliosis presenting with headache, shoulder muscle pain and double vision. mri demonstrated enhancement of the right third and sixth cranial nerves. a 3d mp-rage sequence was used to perform multiplanar reformations to show this more graphically. the patient was free of symptoms 1 month after completion of therapy, when thickening and contrast enhancement of the nerves were less pronounced.200312592489
chronic lyme disease: it's not all in our heads.those of us with chronic lyme disease are not at all confused, as suggested by sigal and hassett (2002). we know from years of experience that we have real, specific symptoms that are usually painful and disabling and include severe headaches, crippling arthritis, and heart palpitations, which lead to serious heart disease. many of us know that our symptoms are kept in check while we are on antibiotics, but they painfully reappear when the antibiotics are withdrawn. just because the medical comm ...200312573918
lyme arthritis presenting as acute septic arthritis in children.there is considerable overlap in the initial clinical and laboratory presentations of acute septic arthritis and lyme arthritis. the authors present a consecutive case series of 10 children with acute arthritis consistent with septic arthritis who ultimately were diagnosed with lyme disease. fifty percent presented with a fever of 38 degrees c or higher. the peripheral white blood cell count and differential were not elevated, but the erythrocyte sedimentation rate and the c-reactive protein wer ...200612499956
patterns of lyme disease diagnosis and treatment by family physicians in a southeastern state.this study examined how often physicians in georgia diagnose and treat lyme disease as well as the criteria they use to reach a diagnosis of lyme disease. a survey was sent to 1,331 family physicians in georgia concerning how many cases of lyme disease the physicians diagnosed, and the criteria used to make the diagnosis, during the preceding 12 months. of 710 responses, 167 physicians treated 316 cases of lyme disease without a firm diagnosis. in addition, 125 physicians diagnosed 262 cases of ...200212458782
fundus autofluorescence in apmppe in association with lyme disease. 200212441738
neuropsychological functioning in chronic lyme disease.lyme disease is currently the most common vector-borne illness in the united states. the disease is multisystemic, and chronic disease, in particular, may be associated with neuropsychological deficits. however, to date, only a few empirical studies exist, which examine the neuropsychological sequelae associated with chronic lyme disease. a review of the literature shows that the deficits observed in adults with chronic lyme disease are generally consistent with the deficits that can be seen in ...200212428915
lyme disease controversy: use and misuse of language. 200212416968
lyme disease controversy: use and misuse of language. 200212416967
lyme disease controversy: use and misuse of language. 200212416965
lyme disease controversy: use and misuse of language. 200212416964
involvement of nf-kappab signalling in skin physiology and disease.transcription factors of the nuclear factor-kappab (nf-kappab)/rel family play a crucial role in gene regulation during a variety of different cellular processes. this review focuses on the increasing knowledge of the role of nf-kappab in skin physiology and pathology. several studies demonstrate that nf-kappab, or components of the system such as ikappab kinase (ikk)-alpha, seem to be involved in epidermal development and differentiation. furthermore, a dysregulation of nf-kappab is suggested t ...200312401514
patient information. making lyme disease take a hike. 200112400284
[neuro-ophthamologic manifestations as unusual presentation of lyme disease]. 200212372174
[effect of antibiotic therapy on levels of proinflammatory cytokines: interleukin il-1, il-6 and tumor necrosis factor tnf-alpha in serum of patients with lyme borreliosis].we estimated serum concentrations of cytokines: il-1, il-6, tnf-alpha in patients with diagnosed lyme disease treated for 14 days with antibiotics. the detection of proinflammatory cytokines was performed by elisa tests. the examination was carried out before and after the treatment. the comparison with control group stated statistically significant higher concentration of il-1, il-6 and tnf-alpha before and after the treatment. comparing the concentrations of cytokines after treatment with cont ...200212235693
lyme disease. 200212230693
role of experience and context in learning to diagnose lyme disease.a recent review of research in continuing medical education suggests that scholarship should be integrated with practice so that practical problems can be addressed with theoretically derived yet applicable solutions. this project develops a theory describing how physicians learn and formulate decisions in the context of diagnosing lyme disease in order that educational programs can be designed to improve accuracy in diagnosis of this disease.200212227235
prevention of lyme disease in dutch children: analysis of determinants of tick inspection by parents.this study examined factors that discriminate between parents who regularly inspect their children for ticks and those who do not do so.200212200101
contributions of societal and geographical environments to "chronic lyme disease": the psychopathogenesis and aporology of a new "medically unexplained symptoms" syndrome.lyme disease is a relatively well-described infectious disease with multisystem manifestations. because of confusion over conflicting reports, anxiety related to vulnerability to disease, and sensationalized and inaccurate lay media coverage, a new syndrome, "chronic lyme disease," has become established. chronic lyme disease is the most recent in a continuing series of "medically unexplained symptoms" syndromes. these syndromes, such as fibromyalgia, chronic fatigue syndrome, and multiple chemi ...200212194894
sorting out the manifestations of lyme disease. 200212192829
mr findings in acute lyme disease affecting the knee. a case report. 200212174443
bibliography. current world literature. infectious arthritis and immune dysfunction: clinical description of lyme arthritis and post-lyme disease syndrome. 200212136803
lyme disease rash: no usually a bull's-eye. 200212132413
cost-effectiveness analysis of the lyme disease vaccine.a vaccine for lyme disease was approved in 1998 for use in the us. given the high cost of the vaccine, the low risk of lyme disease in many areas, and the largely curable nature of the disease, the cost-effectiveness of the vaccine in various risk groups is uncertain. this study was undertaken to examine the cost-effectiveness of the lyme disease vaccine and the factors that influence its cost-effectiveness.200212115198
vaccination for lyme disease: cost-effectiveness versus cost and value. 200212115172
[central nervous system involvement in patients with hcv-related cryoglobulinemia: literature review and a case report].few well-documented cases of central nervous system involvement in patients with mixed cryoglobulinemia and/or hcv infection have been reported. we can distinguish between acute or subacute diffuse and focal lesions (transient ischemic attack-like syndromes and cerebrovascular accidents).201312105684
manufacturer discontinues only lyme disease vaccine. 200212085815
study highlights variation in lyme disease presentation. 200212062987
late lyme disease masking a non-functioning adenoma of the anterior lobe of the pituitary gland. 200212059811
lyme disease incidence in wisconsin: a comparison of state-reported rates and rates from a population-based cohort.few studies have assessed the accuracy and completeness of lyme disease surveillance systems. lyme disease cases were identified through review of medical records for residents of the marshfield epidemiologic study area (mesa), a population-based cohort of nearly 80,000 in north-central wisconsin for which comprehensive medical care data are available through the marshfield clinic. these cases were compared with cases reported to the wisconsin division of public health to estimate the completene ...200212048226
peripheral nervous system manifestations of lyme borreliosis.lyme disease is a tick-borne illness that has protean neurologic manifestations involving both the central and peripheral nervous system. the peripheral nervous system manifestations of lyme borreliosis can be divided chronologically into acute and chronic forms. within weeks after disease onset, approximately 15% of untreated patients develop an acute lyme meningoradiculoneuritis with headache, fever, radicular pain, weakness, and sensory loss, often associated with cranial neuropathy, usually ...200219078675
lymerix. lack of demand kills lyme disease vaccine. 200212035641
mosquitoes and soft ticks cannot transmit lyme disease spirochetes. 200211999012
serum time course of two brain-specific proteins, alpha(1) brain globulin and neuron-specific enolase, in tick-born encephalitis and lyme disease.time courses of the serum concentrations of two brain-specific proteins (bsp), alpha(1) brain globulin (alpha(1)bg, an astroglial marker) and neuron-specific enolase (nse), were studied in patients with severe tick-born encephalitis (tbe) and lyme disease (ld; neuroborreliosis). the concentrations were determined on the second day of the acute phase and then on the 7th, 12th, 18th, and 23rd days. apparent rate constants for the elimination of the bsp from blood (k(e)) were calculated with the no ...200211983209
late and chronic lyme disease.this article reviews the late and chronic manifestations of lyme disease. special attention is given to the chronic manifestations of the disease, detailing its pathogenesis, clinical spectrum, and laboratory criteria for the diagnosis. based on experimental evidence and experience, approaches to the successful treatment of the late and chronic disease are outlined. much additional work is needed to improve the understanding of the underlying pathophysiology of the disease, its diagnosis and tre ...200211982305
neurologic aspects of lyme disease.lyme disease has emerged as a major infection with frequent neurologic manifestations. these manifestations probably reflect several predominantly indirect pathogenetic mechanisms and involve host, vector, and organism factors. with early diagnosis and appropriate antibiotic treatment, patients do well. because culture is not reliable, diagnosis has relied on positive serology to document exposure. serology should improve as second-generation assays become available. although there is a preventi ...200211982301
erythema migrans.em is the most common manifestation of early lyme disease, occurring in a high percentage of cases. because this phase of infection with b. burgdorferi offers an excellent opportunity to treat this potentially systemic infection, front-line physicians must be familiar with its diagnosis. although much attention has been paid to the classic form--the target lesion or bull's eye--there are variations that are more common. these include uniform coloration, lesions with necrotic or vesicular centers ...200211982300
epidemiologic and ecologic characteristics of some diseases transmitted by arthropods on the littoral of the republic of croatia.to show epidemiologic and ecologic characteristics of some diseases transmitted by arthropods on the littoral of the republic of croatia.200211977885
lyme disease. disease incidence rising in the east. 200211969016
erythema migrans and the differential diagnosis of annular erythema.the diagnosis of lyme disease (ld) or lyme borreliosis is often based on the recognition of erythema migrans (em) because its clinical appearance precedes systemic manifestations of the disease and the antibody response. the clinical basis and variable presentation of em leave room for diagnostic error and, as a consequence, potential long-term repercussions such as rheumatic, cardiac, ophthalmic, or neurologic complications. most cases are reported in the northcentral and northeastern states. i ...200211957843
use of electrocochleography for assessing endolymphatic hydrops in patients with lyme disease and ménière's disease.from an otological standpoint, lyme disease can manifest itself as ménière's disease both clinically and electrophysiologically. the aim of this study was to describe the findings of routine clinical, auditory and vestibular tests in patients with ménière's and lyme disease and to use electrocochleography (ecog) to assess the presence of endolymphatic hydrops (eh) in both diseases. transtympanic ecog was performed in 91 patients with ménière's disease and in 11 patients with confirmed lyme disea ...200211936909
[atypical cerebral lymphoma with ocular onset: report of a case].a 72 year-old woman is hospitalized and explored in the neurological department because of dementia discovered after a vitrectomy performed to treat a relapsing chronic uveitis. mri examination shows atypical hyperintense white matter lesions on t2 weighted images related to lyme disease. worsening of clinical status, despite appropriate medical treatment and apparition of enhanced nodules mr images rules out the diagnosis of lyme disease and is attributed to brain metastases. the search for pri ...200111924144
from the centers for disease control and prevention. lyme disease--united states, 2000. 200211894854
risk factors for lyme disease in chester county, pennsylvania.to identify factors associated with increased or decreased risk of infection for lyme disease in chester county, pennyslvania.200111889282
[multiple mononeuropathy and inflammatory syndrome manifested in lyme disease].meningo-radiculitis is the most common peripheral nerve system involvement of lyme disease. we report the observation of a 73 year-old woman presenting a subacute multiple mononeuropathy and a severe inflammatory syndrome. diagnosis of lyme disease was confirmed by a lymphocytic meningitis with positive serologic results in the cerebrospinal fluid. nerve biopsy showed inflammatory cells spreading along the endoneurium. this case report emphasizes that lyme disease may present as a multiple monon ...200111885524
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