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Objavljeno: 03. jun 2025.Oblast: Zarazne bolesti

pitanje

Postovanje, posto su lekari konacno utvrdili posle dvanaset godina nesposobnosti da otkriju uzrok bolesti,da moje dete ima lajamsku bolest,za koju sada neznaju u kojoj je fazi, ja pitam sta moze da se preduzme dalje za lecenje? Trenutno u IgM bakterija borelija je 190.a tu je i Epstain bar virus.Dete ima bolove u stomaku,alergiju urtikariju,otice u licu,mucninu,Da li moze doci do otkazivanja bubrega?Pisala sam vam vise puta ali nismo znali tacan uzrok stanja deteta.Sada kad znamo, ovde u Holandiji nisu nam dali nikakvu terapiju,osim fizikalne terapije i psihologa.Da li postoji neko resenje?

Đorđe Jevtović

Đorđe Jevtović

Specijalista infektologije

Zakažite pregled

lamska bolest, nelečena prolazi kroz više faza, a ovo je opis kasne faze, iz referentnog udžbenika

"In untreated Lyme disease, the late stage begins months to years after initial infection. Arthritis develops in about 60% of patients within several months, occasionally up to 2 years, of disease onset (as defined by erythema migrans). Intermittent swelling and pain in a few large joints, especially the knees, typically recur for several years. Affected knees commonly are much more swollen than painful; they are often hot but rarely erythematous. Baker cysts may form and rupture. Malaise, fatigue, and low-grade fever may precede or accompany arthritis attacks. In about 10% of patients, knee involvement is chronic (unremittent for ≥ 6 months).

Other late findings (occurring years after onset) include an antibiotic-sensitive skin lesion (acrodermatitis chronica atrophicans) and chronic central nervous system abnormalities, either polyneuropathy or a subtle encephalopathy with mood, memory, and sleep disorders.

Some patients have symptoms such as fatigue, headache, joint and muscle aches, and cognitive problems after successful antibiotic treatment. These symptoms are collectively referred to as post-treatment Lyme disease syndrome (PTLDS) (2). Although some patients with such subjective symptoms are assigned the diagnosis of chronic Lyme disease, there is no clear evidence that these patients have viable Borrelia remaining in their body. The cause of these continuing symptoms is unclear, and treatment with more antibiotics does not help".

Iz opisa simptoma vašeg deteta se ne prepoznaje kasna faza Lajmske bolesti, a pomenuta mikrobiološka analiza je nedovoljna, potrebno je i pregledati cerebrospinalnu tečnost na prisustvo B.burgdorferi specifičnih antitela,Pomenuti EBV svi steknemo u ranom detinjstvu, ili u periou adolescencije, te je neasno kakve on ima veze s simptomima-verovatno je da nema

Ovaj odgovor je pružen u informativne svrhe i ne zamenjuje direktan pregled kod lekara.

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O lekaru

Prof. dr Đorđe Jevtović, rođen 1953. godine u Beogradu, lekar-infektolog. Profesor je Medicinskog fakulteta i načelnik centra za HIV na Klinici za infektologiju i tropske bolesti u Beogradu.

Oblasti medicine (Medicinska Ekspertiza):
  • Zarazne bolesti

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