Author/Editor		Strle, Franc
Title		Lymska borelioza
Translated title		Lyme borreliosis
Type		članek
Source		Farm Vestn
Vol. and No.		Letnik 49, št. 1
Publication year		1998
Volume		str. 49-56
Language		slo
Abstract		Lyme borreliosis is the most common tick-borne disease in the USA, in the majority of European countries and also in Slovenia. It affects several organ systems and has a remark ably variable clinical course. When the clinical picture is complete, skin changes appear after a tick bite (erythema migrans, borrelial lymphocytoma), followed by heart and/or neurologic involvement and later on by joint involvement. Late in the course of the illness chronic joint and central and/or peripheral nervous system involvement my be presentas as well as chronic skin changes (acrodermatitis chronica atrophicans). Treatment of Lyme borreliosis is reasonable in any stage of the disease, however, the efficacy is the highest early in the course of the illness. Only unspecific preventive measures are available; an effective and safe vaccine to prevent Lyme borreliosis in humans has not been developed yet.
Summary		Podobno kot v ZDA in v večini evropskih držav je lymska borelioza tudi v Sloveniji najbolj pogostna bolezen, ki jo prenašajo klopi. Prizadene številne organske sisteme in ima zelo spremenljiv potek. Kadar je izražena v celoti (kar je izjemno), sledijo klopovemu vbodu kožne spremembe (erythema migrans, borelijski limfocitom), za njimi prizadetost srca ali živčevja ali oboje, še pozneje lahko pride do kronične prizadetosti sklepov,do poznih kožnih sprememb (acrodermatitis chronica atrophicans) ali do pozne prizadetosti osrednjega ali perifernega živčevja ali obojega. Zdravljenje z antibiotiki je smiselno v vseh stadijih lymske borelioze, najuspešnejše pa je v zgodnjem poteku bolezni. Za preprečevanje pridejo zaenkrat v poštev samo nespecifični zaščitni ukrepi, saj varnega in učinkovitega cepiva proti lymski boreliozi za ljudi še ni.
Descriptors		LYME DISEASE BORRELIA BURGDORFERI ERYTHEMA CHRONICUM MIGRANS TICKS