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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
Con…
• Extreme tiredness.
• Muscle weakness.
• Joint pain.
• Upset digestive system.
• Disturbances of the central nervous
system
• Sleep problems.
Con…
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
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
Thank You

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Neuroborreliosis vs multiple scelrosis