Author/Editor		Lešničar, Gorazd; Blatnik, Janja; Šibanc, Branko; Cvitan, Stela
Title		Lymska borelioza pri otrocih, zdravljenih od leta 2000-2004 na Oddelku za infekcijske bolezni in vročinska stanja Splošne bolnišnice Celje
Translated title		Lyme borreliosis in children treated in the period 2000-2004 at the Department of infectious diseases and febrile conditions of General hospital Celje
Type		članek
Source		In: Reberšek-Gorišek J, Baklan Z, Kotnik-Kevorkijan B, editors. Nalezljive bolezni v otroški dobi. Zbornik predavanj in praktikum 5. Bedjaničev simpozij z mednarodno udeležbo; 2005 maj 27-28; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2005
Volume		str. 183-95
Language		slo
Abstract		Lyme borreliosis is an endemlc disease in Slovenia, its morbidiy ranging between 3000-3500 patients per year. The incidence is assessed to be 155 patienis / 100,000 population. Most patients are at an age of 30-50 years. In the years 2000-2004, there were 802 patients with Lyme borrellosis treated at the Department of Infectious diseases and febrile conditions, of these 141 (17.6%) children up to 18 years of age. Patients and methods. In a retrograde study, we investigated epidemiological and clinical features as well as the characteristics of laboratory findings in 141 children aged 1-18 years, treated for Lyme borreliosis in our Department in the period 2000-2004. We were interested particularly in the morbidity and cllnical forms of Lyme disease, as well as in treatment success and possible sequelae. Results. Out of 141 patients there were 73 boys and 68 girls. A half of the patients were from Velenje, Celje and Žalec. In 93 patients (65.9%) beginning of the disease was assessed as acute, while in 48 (34.1%) it was subacute or "chronical". Tick bite was established in 35 patients (24.8%), and over a half of the affected children were exposed to ticks in their home environment. A previous solitary erythema migrans was reported by parents in 17 cases (12.1%), and as a result, 13 of these children were treated with antibiotlcs. The most frequent disease symptoms in hospitalized children were as follows: multiple erythema migrans of the skin (62 patients), headache (35 patients), signs of meningitis (18 patients) and polyarthralgia (14 patients). The laboratory findings confirmed the clinical diagnosis of Lyme borreliosis in less than half of the patients, the majority of microbiologically positive results being established by immunoblot assay. (Abstract truncated at 2000 charactes).
Descriptors		LYME DISEASE BORRELIA BURGDORFERI HOSPITALIZATION ERYTHEMA CHRONICUM MIGRANS CHILD