franiolek1
04.08.08, 22:58
Ukazały się dwa czeskie artykuły. W obydwu mowa jest o wykryciu
kretków u pacjentów z problemami kardiologicznymi.
W pierzszym, metoda PCR wykryto DNA bakterii borrelia bissettii.
Wlasnie ta bakteria mialaby byc czesta przyczyna boreliozy w Europie.
Drugi, mowi o tym, ze borelioza jest przyczyna kardiomiopatii, o do
tej pory nieznanej etiologii.
J Clin Microbiol. 2008 Jul 23. [Epub ahead of print]
Detection of Borrelia bissettii in cardiac valve tissue of a patient
with endocarditis and aortic valve stenosis
(Czech Republic).Rudenko N, Golovchenko M, Mokracek A, Piskunová N,
Ruzek D, Mallatová N, Grubhoffer L.
Biology Centre, Institute of Parasitology AS CR, and Faculty of
Science University of South Bohemia in eské Budjovice, eské
Budjovice, Czech Republic; The Department of Cardiosurgery, and The
Department of Medical Genetics, Hospital eské Budjovice, Czech
Republic.
Molecular analysis of a clinical sample confirmed the presence of
Borrelia bissettii DNA in cardiac valve tissue from a patient with
endocarditis and aortic valve stenosis. This evidence strongly
supports the fact of involvement of B. bissettii in Lyme disease in
Europe.
PMID: 18650352 Vnitr Lek. 2008 Apr;54(4):430- 3.
Lyme carditis--rare cause of dilated cardiomyopathy and rhythm
disturbances[Article in Czech]
Cepelová J.
Interní klinika 1. lékarské fakulty UK a UVN Praha.
cepelovaj@seznam. cz
Case report of young woman presents involvement of dilated
cardiomyopathy and rhythm disturbances in 18 months after infection
of tick, with direct assessment of spirochetes in myocardial tissue.
Cardial decompensation occured after asthma exacerbation,
complicated by bronchopneumonia. Rhythm disturbances and heart
failure gradually subside after parenteral antibiotic treatment and
peroral treatment of heart failure. Nevertheless there is a long-
lasting persistence of dilated cardiomyopathy with significant
systolic dysfunction, which is supposedly last consequence of
Borrelia infection. Resynchronic therapy combinated with
cardioverter- defibrilator primary considering was postponed for
improvement clinical condition and myocardial electric stability.
There is demonstrating complicated serologic diagnostics of Lyme
disease in discussion. Lyme carditis would be part of differential
diagnosis in rhythm disturbances and cardiomyopathy of unknown
etiology, including serious or fatal events.
PMID: 18630624
