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Neuroborreliosis
Name: Khalid Al-Kuwity
ID:213119354
Tutor: DR. Ansari
Objectives
 Neuroborreliosis
 Epidemiology
 Complication
 Multiple Sclerosis
 Neuroborreliosis v.s M.S
 Diagnosis
 Clinical features
 Treatment
 Prevention
Neuroborreliosis
Lyme disease
(Neuroborreliosis ) is an
infectious disease caused
by the bacterium Borrelia
burgdorferi .
Lyme disease can be
transmitted to humans by
the bite of an infected tick.
What is Borreliosis?
 The genus Borrelia is a
member of the larger
family of spiral-shaped
bacteria called
Spirochaetes and the
bacteria can be termed as
a Borreliosis.
Cont
 There are many species of Borrelia
bacteria worldwide, but not all of them
cause the disease.
 There are only 3 species that known to
cause the disease:
1- Borrelia burgdorferi.
2- Borrelia afzelii.
3- Borrelia garinii.
Symptoms
 Flu-like.
 Erythema migrans (EM)
Rash.
 Headache.
 Stiff neck.
 Muscle pain.
 Tender glands
 sensitivity to temperature
,sound and light levels
遺看稼
 Extreme tiredness.
 Muscle weakness.
 Joint pain.
 Upset digestive system.
 Disturbances of the central nervous
system
 Sleep problems.
遺看稼
Epidemiology
Risk Factors
 Spending time in wooded or grassy
areas.
 Having exposed skin.
 Not removing ticks promptly or
properly.
Complications
 Chronic joint inflammation (Lyme
arthritis) commonly in the knee.
 Neurological symptoms, such as facial
palsy and neuropathy.
 Cognitive defects, such as impaired
memory.
 Heart rhythm irregularities
Multiple Sclerosis
Neuroborreliosis v.s M.S
*Golden Key
Mutable SclerosisLyme Disease
Effect only the CNS  UMN
IgG oligoclonal band in the
CSF
Parathesia (transit) not sever
pain and not persist
Effect the CNS,PNS  UMN,
LMN
Present with organism
antibody ( IgM, IgG) in the
CSF
Sever burning pain
Diagnosis
 Clinical features.
 IgM antibodies detected in the 1st
month.
 IgG late in the disease.
 Enzyme-linked immunosorbent assay
(ELISA).
 CSF (cerebrospinal fluid).
 Polymerase chain reaction (PCR).
Clinical Features
Skin stage :present
with erythmea
migrans. Associate
with fever and
headache
Neurologic
and cardiac
stage
Chronic
Arthritis
stage
Several day
to weeks or
months
If not
treated
Neuroborreliosis vs multiple scelrosis
Treatment
 Antibacterial tablet ( Amoxicillin,
doxycycline)
 Intravenous administration of ceftriaxone,
cefotaxim or benzyl-pienicillin.
Prevention
 Wear long pants and long sleeves.
 Use insect repellents.
 Do your best to tick-proof your yard.
 Check yourself, your children and your
pets for ticks.
 Don't assume you're immune.
 Remove a tick as soon as possible.
References
 111-120, 130 1478-1481 352
156-161
 http://www.mayoclinic.org/diseases-
conditions/lyme-disease/basics.
 http://www.lymediseaseaction.org.uk
Neuroborreliosis vs multiple scelrosis
Thank You

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Neuroborreliosis vs multiple scelrosis

  • 2. Objectives Neuroborreliosis Epidemiology Complication Multiple Sclerosis Neuroborreliosis v.s M.S Diagnosis Clinical features Treatment Prevention
  • 3. Neuroborreliosis Lyme disease (Neuroborreliosis ) is an infectious disease caused by the bacterium Borrelia burgdorferi . Lyme disease can be transmitted to humans by the bite of an infected tick.
  • 4. What is Borreliosis? The genus Borrelia is a member of the larger family of spiral-shaped bacteria called Spirochaetes and the bacteria can be termed as a Borreliosis.
  • 5. Cont There are many species of Borrelia bacteria worldwide, but not all of them cause the disease. There are only 3 species that known to cause the disease: 1- Borrelia burgdorferi. 2- Borrelia afzelii. 3- Borrelia garinii.
  • 6. Symptoms Flu-like. Erythema migrans (EM) Rash. Headache. Stiff neck. Muscle pain. Tender glands sensitivity to temperature ,sound and light levels
  • 7. 遺看稼 Extreme tiredness. Muscle weakness. Joint pain. Upset digestive system. Disturbances of the central nervous system Sleep problems.
  • 10. Risk Factors Spending time in wooded or grassy areas. Having exposed skin. Not removing ticks promptly or properly.
  • 11. Complications Chronic joint inflammation (Lyme arthritis) commonly in the knee. Neurological symptoms, such as facial palsy and neuropathy. Cognitive defects, such as impaired memory. Heart rhythm irregularities
  • 14. *Golden Key Mutable SclerosisLyme Disease Effect only the CNS UMN IgG oligoclonal band in the CSF Parathesia (transit) not sever pain and not persist Effect the CNS,PNS UMN, LMN Present with organism antibody ( IgM, IgG) in the CSF Sever burning pain
  • 15. Diagnosis Clinical features. IgM antibodies detected in the 1st month. IgG late in the disease. Enzyme-linked immunosorbent assay (ELISA). CSF (cerebrospinal fluid). Polymerase chain reaction (PCR).
  • 16. Clinical Features Skin stage :present with erythmea migrans. Associate with fever and headache Neurologic and cardiac stage Chronic Arthritis stage Several day to weeks or months If not treated
  • 18. Treatment Antibacterial tablet ( Amoxicillin, doxycycline) Intravenous administration of ceftriaxone, cefotaxim or benzyl-pienicillin.
  • 19. Prevention Wear long pants and long sleeves. Use insect repellents. Do your best to tick-proof your yard. Check yourself, your children and your pets for ticks. Don't assume you're immune. Remove a tick as soon as possible.
  • 20. References 111-120, 130 1478-1481 352 156-161 http://www.mayoclinic.org/diseases- conditions/lyme-disease/basics. http://www.lymediseaseaction.org.uk