RESEARCH PAPER
Epidemiological survey of human borreliosis diagnosed in Eastern Slovakia.
 
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1
Parasitological Institute of the Slovak Academy of Sciences, Košice, Slovak Republic
2
Department of Microbiology, Railway Hospital, Košice, Slovak Republic
CORRESPONDING AUTHOR
Asteria Stefancíková   

Institute of the Slovak Academy of Sciences, Hlinkova 3, 040 01 Košice, Slovak Republic
 
Ann Agric Environ Med. 2001;8(2):171–175
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ABSTRACT
439 sera of patients from eastern Slovakia suspected of Lyme borreliosis were examined for anti-Borrelia IgG and IgM antibodies by ELISA (Ezygnost, Dade Behring, Germany). Out of the total number of 64 sera, e.g. in 14.6% found anti-Borrelia antibodies were. Among seropositive patients, 54.7% were women and 45.3% men. The highest incidence of the disease was diagnosed in the group of women aged 55-64 and men aged 45-54. Out of 29 positive sera of men, 55.2% had IgG antibodies, 27.6% IgM antibodies and 17.2% both types of antibodies. Out of 35 positive sera of women, 48.6% had IgG antibodies, 40.0% IgM antibodies and 11.4% both types of antibodies. Erythema Chronicum Migrans--ECM (31.3%) and arthritis (25.0%) prevailed among clinical symptoms, in contrast with only 7.8% of neurological cases. In men, arthritis most frequently occurred (27.6%), while in women erythema migrans forms (37.1%). Other manifestations of the disease appeared in 13 patients (20.3%), and 10 patients (15.6%) had no record of clinical manifestations. As shown by patients' records, 32.8% reported attachment of tick, 20.3% insect bites and 29.7% were not aware of being bitten by vectors. Seasonal dynamics of diagnosed cases reached three peaks with the highest numbers in February, May and October.
eISSN:1898-2263
ISSN:1232-1966