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Pitanje #2416403. 6. 2025.
Đorđe Jevtović
Đorđe JevtovićSpecijalista infektologije
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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

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