Abstract
Tick inoculation in an eyelid region: report on five cases with one complication of the orbital myositis associated with Lyme borreliosis
- Z Kliniki Okulistycznej w Centrum Medycznym im R. Virchowa w Salzgitter
- Z Zakładu Farmakologii Klinicznej Śląskiej Akademii Medycznej w Katowicach
- Z Kliniki Okulistycznej w Schlossparkklinik w Berlinie
Purpose
To determine the frequency and dependence of Lyme borreliosis after tick infestation in the eyelid region
Material and methods
Five patients after tick inoculation were investigated by immunofluorescence assays for IgM and IgG antibodies to Borrelia burgdorferi. One positive test was followed with an enzyme immunoassay and immunoblot (a two step system). Ophthalmologic evaluation of myositis was supported with MRI, laboratory, and internal clinical investigations
Results
Four children showed negative Borrelia serology after a bite from a tick. In one case the left abducens nerve palsy was found, which was diagnosed in MRI as a thickened left lateral rectus muscle. The diagnosis of myositis with positive Borrelia burgdorferi serology was consistent with Lyme borreliosis. Other laboratory examinations were negative. The symptoms were reduced after treatment with ceftriaxon.
Conclusions
Lyme borreliosis was found in one in five patients after tick infestation in the eyelid region. Antibiotic prophylaxis against Lyme borreliosis with ampicillin is recommended for children after a tick bite.
Keywords
tick, eye-lid, Borreliosis, ocular myositis
Integrated with
