Abstract
Hitherto published reports on Lyme borreliosis in childhood deal mainly with single case observations. Only a few more comprehensive studies on pediatric patients have been published in Europe (Schaad et al. 1986; Christen et al. 1988; Naglo and Wide 1989; Huppertz 1990) and the USA (Steere et al. 1977; Williams et al. 1990). In addition to this material, our own results from a prospective, hospital-based, multicenter study are presented in this review. The methods of this study have been described in detail elsewhere (Christen et al. 1988 and 1990). Lyme borreliosis was diagnosed on the basis of the detection of specific antibodies against Borrelia burgdorferi using an immunoglobulin M (IgM) capture assay developed by Wassmann et al. (1989) and an IgG enzyme-linked immunosorbent assay (ELISA) according to Eiffert et al. (1990). During the first 3 years of this study, 592 children were examined. The distribution of the disorders investigated and the relative frequency of Lyme borreliosis are presented in Table 1. Based on the literature and our own results, the following description of Lyme borreliosis in childhood stresses the differences between children and adults.
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References
Ackermann R, Rehse-Küpper B, Gollmer E, Schmidt R (1988) Chronic neurologic manifestations of erythema migrans borreliosis. Ann NY Acad Sci 539:16–23
Åsbrink E, Olsson I, Hovmark A (1986) Erythema chronicum migrans Afzelius in Sweden. A study of 231 patients. Zentralbl Bakteriol Hyg (A) 263: 229–236
Åsbrink E, Hovmark A, Olssen I, (1989) Lymphadenosis benigna cutis solitaria - Borrelia lymphocytoma in Sweden. Zentralbl Bakteriol (Suppl) 18:156–163
Bäfverstedt B (1943) Über Lymphadenosis benigna cutis. Acta Derm Venereol (Stockh) 23 (Suppl 11): 1–202
Bannwarth A (1941) Chronische lymphocytäre Meningitis, entzündliche Polyneuritis und “Rheumatismus”. Arch Psychiatr Nervenkr 113:284–376
Barson WJ, Miller MA, Brady MT, Powell DA (1985) Prospective comparative trial of ceftriaxone vs. conventional therapy for treatment of bacterial meningitis in children. Pediatr Infect Dis J 4:362–368
Bensch J, Olcén P, Hagberg L (1987) Destructive chronic Borrelia meningoencephalitis in a child untreated for 15 years. Scand J Infect Dis 19:697–700
Bloedhorn E (1923) Lymphknoten im Ohrläppchen (Lymphadenosis cutis circum scripta?) Hals-,Nasen- und Ohrenheilkd 7:224–227
Caflisch U, Tönz O, Schaad UB, Aeschlimann A, Burgdorfer W (1984) Die Zecken-Meningoradikulitis - eine Spirochätose. Schweiz Med Wochenschr 144:630–634
Christen HJ, Hanefeld F, Bartlau N, Wassmann K, Thomssen R (1988) Lyme borreliosis in children. A prospective clinical-epidemiological study. Ann NY Acad Sci 539:449–451
Christen HJ, Bartlau N, Hanefeld F, Eiffert H, Thomssen R (1990) Peripheral facial palsy in childhood - Lyme borreliosis to be suspected unless proven otherwise. Acta Paediatr Scand 79:1219–1224
Ciesielski CA, Russel H, Johnson S, Markowitz L, Benach J, Broome C (1987) Prospective study of pregnancy outcome in women with Lyme disease. 27th Interscience conference on antimicrobial agents and chemotherapy, New York, Abstract 39
Culp RW, Eichenfield AH, Davidson RS, Drummond DS, Christofersen MR, Goldsmith DP (1987) Lyme arthritis in children. J Bone Joint Surg (Am)69:96–99
Dattwyler RJ, Halperin JJ, Volkman DJ, Luft BJ (1988) Treatment of late Lyme borreliosis - Randomised comparison of ceftriaxone and penicillin. Lancet 1:1191–1194
Donnermann C, Heite HJ (1959) Beitrag zur Symptomatologie der Akrodermatitis chronica atrophicans (Pick-Herxheimer). Arch Klin Exp Dermatol 208:516–527
Eiffert H, Lotter H, Thomssen R (1990) Use of peroxidase-labelled antigen for the detection of antibodies to Borrelia burgdorferi in human and animal sera. Scand J Infect Dis 23:78–87
Feder HM Jr, Zalneraitis EL, Reik L Jr (1988) Lyme disease: acute focal meningoencephalitis in a child. Pediatrics 82:931–934
Finkel MF (1988) Lyme disease and its neurologic complications. Arch Neurol 45:99–104
Göhr A (1935) Zur Klinik der Acrodermatitis chronica atrophicans. Thesis, Berlin
Görke W, Felix S, Severien C (1989) Scheinbar zentrale Fazialisparese bei Lyme-Borreliose. Klin Padiatr 210:467–470
Gottron H (1939) Acrodermatitis chronica atrophicans. Zentralbl Haut Geschlechtskr 61:7
Hanefeld F, Christen HJ, Bartlau N, Wassmann K, Thomssen R (1989) Lyme borreliosis in children. Zentralbl Bakteriol (Suppl) 18:192–202
Hauser W (1955) Zur Kenntnis der Acrodermatitis chronica atrophicans. Arch Dermatol Syph 199:350–393
Herxheimer K, Hartmann K (1902) Über Acrodermatitis chronica atrophicans. Arch Dermatol Syph 61:57–76,255–300
Höfer W (1956) Lymphadenosis benigna cutis. Arch Klin Exp Derm 203:23–40
Hollström E (1958) Penicillin treatment of erythema chronicum migrans Afzelius. Acta Derm Venereol (Stockh) 38:285–289
Huber A, Baumann W (1989) Klinische Manifestation der Lyme-Borreliose im Kindesalter. Klin Padiatr 201:133–135
Huppertz HI (1990) Childhood Lyme borreliosis in Europe. Eur J Pediatr 149:814–821
Huppertz HI, Sticht-Groh V (1989) Meningitis due to Borrelia burgdorferi in the initial stage of Lyme disease. Eur J Pediatr 148:428–430
Jacobs JC, Rosen JM, Szer IS (1984) Lyme myocarditis diagnosed by gallium scan. J Pediatr 105:950–952
Jacobs RF (1988) Ceftriaxone-associated cholecystitis. Pediatr Infect Dis J 7:434–436
Jörbeck HJA, Gustafsson PM, Lind HCF, Stiernstedt GT (1987) Tick-borne Borrelia-meningitis in children. Acta Paediatr Scand 76:228–233
Kafka J (1953) Statistische Erhebungen über die Fälle von Acrodermatits chronica atrophicans (Herxheimer-Hartmann) an der Universitäts-Hautklinik Giessen 1902–1952. Thesis, Giessen
Kerl W (1914) Erythema chronicum migrans. Arch Dermatol Syph 119:301
Kerl W (1920) Verhandlungen der Wiener Dermatologischen Gesellschaft. Arch Dermatol Syph 125:342–343
Keuth U, Mennicken U (1966) Zur Kenntnis der “peripheren” Facialisparese mit subakut-chronischer lymphozytärer Meningitis (Bannwarth). Z Kinderheilkd 97:49–56
Kishaba RG, Weinhouse E, Chusid MJ, Nudel DB (1988) Lyme disease presenting as heart block. Clin Pediatr (Phila) 27:291–293
Lipschütz B (1913) Über eine seltene Erythemform (Erythema chronicum migrans). Arch Dermatol Syph 118:349–356
Lipschütz B (1923) Weiterer Beitrag zur Kenntnis des “Erythema chronicum migrans”. Arch Dermatol Syph 143:365–374
Mach KW, Wilgram GF (1966) Characteristic histopathology of cutaneous lymphoplasia (lymphocytoma). Arch Dermatol 94:26–32
Markowitz LE, Steere AC, Benach J, Slade JD, Broome C (1986) Lyme disease during pregnancy. JAMA 255:3394–3396
Meissner HC, Gellis SE, Milliken JF (1982) Lyme disease first observed to be aseptic meningitis. Am J Dis Child 136:465–467
Mikkelsen AL, Palle C (1987) Lyme disease during pregnancy. Acta Obstet Gynecol Scand 66:477–478
Mühlendahl KE von (1988) Borreliose mit Meningitis als Ursache für Pseudotumor cerebri. Pädiatr Prax 37:675–677
Nadal D, Gundelfinger R, Flueler U, Boltshauser E (1988) Acrodermatitis chronica atrophicans. Arch Dis Child 63:72–74
Nadal D, Hunziker UA, Bucher HU, Hitzig WH, Due G (1989) Infants born to mothers with antibodies againstBorrelia burgdorferi at delivery. Eur J Pediatr 148:426–427
Naglo AS, Wide K (1989) Borrelia infection in children. Acta Paediatr Scand 78:918–922
Neumärker KJ, Dudeck U, Plaza P (1989) Boirelien-Enzephalitis und Katatonie im Jugendalter. Nervenarzt 60:115–119
Neumann I von (1899) Verhandlungen der Wiener Dermatologischen Gesellschaft. Idiopathische Atrophie der Haut. Arch Dermatol Syph 49:124–126
Nikulin N (1896) Verhandlungen der dermatologischen und Venereologischen Gesellschaft zu Moskau. Dermatol Z 3:374–375
Olsson I, Engervall K, Asbrink E, Carlsson-Nordlander B, Hovmark A (1988) Tick-borne borreliosis and facial palsy. Acta Otolaryngol (Stockh) 105:100–107
Paschoud JM (1957) Die Lymphadenosis benigna cutis als übertragbare Infektionskrankheit. Hautarzt 5:197–211
Paul H, Ackermann R, Gerth HJ (1989) Infection and manifestation rate of European Lyme borreliosis. Zentralbl Bakteriol (Suppl) 18:44–49
Pette H (1942) Die akut entzündlichen Erkrankungen des Nervensystems. Eine besondere Form der abakteriellen Meningitis (allergische Meningitis). Thieme, Leipzig, pp 302–305
Pfister HW, Einhäupl KM, Wilske B, Preac-Mursic V (1986) Bannwarth’s syndrome and the enlarged neurological spectrum of arthropod-borne borreliosis. Zentralbl Bakteriol Hyg (A) 263:343–347
Pirilä V (1951) The penicillin treatment of acrodermatitis atrophicans chronica. Acta Derm Venereol (Stockh) 31:576–591
Raucher HS, Kaufmann DM, Goldfarb J, Jacobson RI, Roseman B, Wolff RR (1985) Pseudotumor cerebri and Lyme disease: a new association. J Pediatr 107:931–933
Schaad UB, Flüeler U, Schaub H, Suter H, Vischer D, Caflisch U, Tschumi A, Wick H, Vest M, Durrer D (1986) DurchIxodes-ricinus-Spkochätm (Borrelia burgdorferi) verursachte Krankheitsbilder (Lyme-Krankheit) bei pädiatrischen Patienten in der Schweiz. Schweiz Med Wochenschr 116:1426–1430
Schaad UB, Wegdwood-Krucko J, Tschaepeler H (1988) Reversible ceftriaxone-associated biliary pseudolithiasis in children. Lancet II:1411–1413
Schaltenbrand G (1949) Chronisch aseptische Meningitis. Nervenarzt 20:433–442
Schaltenbrand G (1966) Durch Arthropoden übertragene Erkrankungen der Haut und des Nervensystems. Munch Med Wochenschr 108:1557–1562
Schiller E (1921) Atrophia idiopathica cutis. Mitt Ges Inn Med 20:29–31
Schirduan M (1950) Verdacht auf Toxoplasmose bei Meningitis nach Erythema chronicum migrans bullosum. Arch Dermatol Syph 192:256–260
Schlesinger PA, Duray PH, Burke BA, Steere AC, Stillman T (1985) Maternal-fetal transmission of the Lyme disease spirochete, Borrelia burgdorferi Ann Intern Med 103:67–68
Schmedding E, Verboven M, Lauwers S, Ebinger G, Rom N, Loeb H (1986) Lymphocytic meningoradiculitis (Garin-Bujadoux Bannwarth): from syndrome to disease? Eur J Pediatr 144:497–502
Sedlácek V (1960) Erythema chronicum migrans. Cs Dermatol 35:386–399
Stahl M, Fressl R, Wilske B (1990) Lyme-Neuroborreliose unter dem Bild einer Anorexia nervosa. Munch Med Wochenschr 132:615–619
Stanek G, Flamm H (1986) Borrelia-Infektionen bei Kindern in Mitteleuropa. Pädiatr Grenzgeb 25:113–146
Stechenberg BW (1988) Lyme disease: the latest great imitator. Pediatr Infect Dis J 7:402–409
Steere AC, Malawista SE, Snydman DR, Shope RE, Andiman WA, Ross MR, Steele FM (1977) Lyme arthritis. Arthritis Rheum 20:7–17
Steere AC, Schoen RT, Taylor E (1987) The clinical evolution of Lyme arthritis. Ann Intern Med 107:725–731
Stiernstedt G, Sköldenberg B, Garde A, Kolmodin G, Joerbeck H, Svenungsson B, Carlstörm A (1986) Clinical manifestation of Borrelia infections of the nervous system. Zentralbl Bakteriol Hyg (A) 263:289–296
Strandberg J (1920) Regarding an unusual form of migratory erythema caused by tick bites. Acta Derm Venereol (Stockh) 1:422–427
Sturfelt G, Cavell B (1985) Lyme disease in a 12-year-old girl. Acta Paediatr Scand 74:133–136
Wassmann K, Borg-von Zepelin M, Zimmermann O, Stadler M, Eiffert H, Thomssen R (1989) Determination of immunoglobulin M antibody against Borrelia burgdorferi to differentiate between acute and past infections. Zentralbl Bakteriol (Suppl) 18:281–289
Weber K, Neubert U (1986) Clinical features of early erythema migrans disease and related disorders. Zentralbl Bakteriol Hyg (A) 263:209–228
Weber K, Puzik A, Becker T (1983) Erythema-migrans-Krankheit. Beitrag zur Klinik und Beziehung zur Lyme-Krankheit. Dtsch Med Wochenschr 108:1182–1190
Weber K, Schierz G, Wilske B, Preac-Mursic V (1985) Das Lymphozytom - eine Borreliose? Z Hautkr 60:1585–1598
Weber K, Schierz G, Wilske B, Neubert U, Krampitz HE, Barbour AG, Burgdorfer W (1986) Reinfection in erythema migrans disease. Infection 14:32–35
Weber K, Bratzke HJ, Neubert U, Wilske B, Duray PH (1988) Borrelia burgdorferi in a newborn despite oral penicillin for Lyme borreliosis during pregnancy. Pediatr Infect Dis J 7:286–289
Williams CL, Strobino B, Lee A, Curran AS, Benach JL, Inamdar S, Cristofaro R (1990) Lyme disease in childhood: clinical and epidemiologic features of ninety cases. Pediatr Infect Dis J 9:10–14
Zellweger H (1946) Über die chronische allergische Meningitis. Helv Paediatr Acta 1:417–426
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Christen, HJ., Hanefeld, F. (1993). Lyme Borreliosis in Childhood and Pregnancy. In: Weber, K., Burgdorfer, W., Schierz, G. (eds) Aspects of Lyme Borreliosis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77614-4_17
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