Early neuroborreliosis in children, Bannwart syndrome (clinical observations)
K. V. Markova,
E. Yu. Skripchenko,
N. V. Skripchenko,
E. Yu. Gorelik,
A. A. Vilnits,
A. V. Astapovа,
N. F. Pulman https://doi.org/10.22627/2072-8107-2021-20-4-60-64
Abstract
The problem of ixodic tick-borne borreliosis remains relevant due to its ubiquity, high incidence, especially in the Northwestern Federal District, a variety of clinical manifestations, as well as the possibility of chronization, including in children.
Purpose: to describe our own clinical observations of Bannwart syndrome, which developed during the dissemination of the pathogen.
Results. Bannwart syndrome is pathognomonic for borreliosis symptoms, including a triad of clinical manifestations: serous meningitis, single- or bilateral lesion of facial nerves, polyneuropathy. Timely clinical and adequate laboratory diagnostics determine the favorable course of the disease.
About the Authors
K. V. Markova
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
St-Petersburg
E. Yu. Skripchenko
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; Saint- Petersburg Pediatric Medical University
Russian Federation
Russian Federation
St-Petersburg
N. V. Skripchenko
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; Saint- Petersburg Pediatric Medical University
Russian Federation
Russian Federation
St-Petersburg
E. Yu. Gorelik
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
St-Petersburg
A. A. Vilnits
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia; Saint- Petersburg Pediatric Medical University
Russian Federation
Russian Federation
St-Petersburg
A. V. Astapovа
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
St-Petersburg
N. F. Pulman
Children’s Research and Clinical Center for Infectious Diseases of the Federal Medical and Biological Agency of Russia
Russian Federation
Russian Federation
St-Petersburg
References
1. Skripchenko N.V., Ivanova M.V., Ivanova G.P., Vilnits A.A., Gorelik E.Yu., Pullman N.F., Ivaschenko I.A., Balinova A.A., Mazaeva E.M. Possibilities of neurometabolic therapy for neuroinfections in children. Bulletin of Мedical Internet Сonferences. 2012; 2(9):637—640. (In Russ)
2. Ixodic tick-borne borreliosis in children: etiology, pathogenesis, diagnostics, clinical picture, therapy and prevention: Study guide. Ed. N.V. Skripchenko. St. Petersburg, 2021:102. (In Russ)
3. Kashuba E.A., Drozdova T.G., Khanipova L.V., Lyubimtseva O.A., Ogoshkova N.V., Antonova M.V., Beltikova A.A. Ixodic tick-borne borreliosis (training module). Infectious Diseases: News, Opinions, Education. 2014; 4(9): 57—81. (In Russ)
4. Neuroinfection in children. Ed. N.V. Skripchenko. St. Petersburg: «Tactic-Studio», 2015:856. (In Russ)
5. On the state of sanitary and epidemiological well-being of the population in the Russian Federation in 2020: State report. Moscow: Federal Service for Supervision of Consumer Rights Protection and Human Welfare, 2021:256. (In Russ)
6. SP 3.3686-21 «Sanitary and Epidemiological Requirements for the Prevention of Infectious Diseases» January 28, 2021. (In Russ)
7. Skripchenko N.V., Ivanova G.P., Skripchenko E.Yu., Vilnits A.A., Gorelik E.Yu. Analysis of the effectiveness of immunotherapy for early and late neuroborreliosis in children. Infectious Diseases. 2021; 19(2): 83—94. (In Russ)
8. Cadavid D., Auwaerter P.G., Rumbaugh J., Gelderblom H. Antibiotics for the neurological complications of Lyme disease. Cochrane Database Syst Rev, 2016; 12:CD006978. doi: 10.1002/14651858.CD006978.pub2.
9. Dersch R., Freitag M.H., Schmidt S., et al. Efficacy and safety of pharmacological treatments for acute Lyme neuroborreliosis — a systematic review. Eur J Neurol., 2015; 22:1249—1259.
10. Gasmi S., Ogden N.H., Lindsay L.R., Burns S., Fleming S., Badcock J., Hanan S., Gaulin C., Leblanc M.A., Russell C., Nelder M., Hobbs L., Graham-Derham S., Lachance L., Scott A.N., Galanis E., Koffi J.K. Surveillance for Lyme disease in Canada: 2009—2015. Can Commun Dis Rep. 2017 Oct 5; 43(10):194—199. doi: 10.14745/ccdr.v43i10a01.
11. Koster M.P., Garro A. Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness. Child Adolesc Psychiatr Clin N Am. 2018 Jan; 27(1):27—36. doi: 10.1016/j.chc.2017.08.010. Epub 2017 Oct 21.
12. Kullberg B.J., Vrijmoeth H.D, van de Schoor F., Hovius J.W. Lyme borreliosis: diagnosis and management. BMJ. 2020 May 26; 369:m1041. doi: 10.1136/bmj.m1041.
13. Mead P.S. Epidemiology of Lyme disease. Infect Dis Clin North Am. 2015 Jun; 29(2):187—210. doi: 10.1016/j.idc.2015.02.010.
14. Nykytyuk S., Klymnyuk S., Podobivsky S., Levenets S., Stelmakh O. Lyme borreliosis — endemic disease in children of ternopil region. Georgian Med News. 2020 Oct; (307):95—104.
15. Robinson M.L., Kobayashi T., Higgins Y., et al. Lyme carditis. Infect Dis Clin North Am. 2015; 29:255—268.
16. Schoen R.T. Lyme disease: diagnosis and treatment. Curr Opin Rheumatol. 2020 May; 32(3):247—254. doi: 10.1097/BOR.0000000000000698.
Review
For citations:
Markova K.V., Skripchenko E.Yu., Skripchenko N.V., Gorelik E.Yu., Vilnits A.A., Astapovа A.V., Pulman N.F. Early neuroborreliosis in children, Bannwart syndrome (clinical observations). CHILDREN INFECTIONS. 2021;20(4):60-64. (In Russ.) https://doi.org/10.22627/2072-8107-2021-20-4-60-64
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