Author/Editor		Kogoj, Aleš; Ðorđević, Ljubo
Title		Psihiatrične manifestacije pri Lymski boreliozi
Translated title		Psychiatric manifestations of Lyme borreliosis
Type		članek
Source		Med Razgl
Vol. and No.		Letnik 35, št. 2
Publication year		1996
Volume		str. 257-64
Language		slo
Abstract		Early descriptions of various disorders, now recognized as part of Lyme borreliosis, included various psychiatric symptoms. Although they occur frequently in Lyme disease patients, they are poorly documented in the literature. After dissemination to the central nervous system, Borrellia burgdorferi may remain quiescent for months to years before producing symptoms. The most frequent psychiatric manifestations of Lyme disease include irritability, emotional instability, depression and chronic fatigue syndrome, as well as memory deficits, hallucinations, delusions, symptoms of dementia and other psychical disturbances. Like syphilis, Lyme borreliosis may be associated with a wide spectrum of clinical manifestations, which have not yet been fully elucidated. As a result of delay in diagnosis and treatment, this initially treatable acute illness nay assume a chronic, even irreversible form with devastating consequences in some cases.
Summary		Že v zgodnjih opisih sindromov, za katere sedaj vemo, da predstavljajo del Lymske borelioze, zasledimo tudi razne psihiatrične zaplete. Čeprav so psihiatrični zapleti nedvomno pogosti, pa so razen posameznih primerov redko opisani. Po vdoru v osrednje živčevje lahko ostane Borrelia burgdorferi v latentnem stanju mesece ali leta. Psihiatrični simptomi, ki jih najpogosteje povezujejo z Lymsko boreliozo, so razdražljivost, čustvena labilnost ali depresivnost in kronična utrujenost. Spremljajo jo lahko tudi motnje spomina, zaznavne motnje, vsebinske motnje mišljenja, znaki demence ter druge psihične in nevrološke spremembe. Podobno kot sifilis je Lymska borelioza bolezen s širokim spektrom kliničnih manifestacij, ki jih verjetno še ne poznamo v celoti. Bolezen, ki je ne odkrijemo in ne zdravimo pravočasno, preide v kronično obliko, ki lahko povroča trajne, tudi zelo hude posledice.
Descriptors		LYME DISEASE MENTAL DISORDERS PENICILLIN G CEFTRIAXONE