Enfermedad de Lyme crónica vs. Síndrome Post-tratamiento Lyme — a propósito de un caso en el ámbito laboral de Navarra

Abstract

espanolResumen: La enfermedad de Lyme es causada por la espiroqueta Borrelia Burgdoferi, que se transmite por la mordedura de la garrapata del genero Ixodes. El diagnostico se realiza por ELISA y se confirma mediante Western blot o PCR. Una infeccion por Borrelia no solo desencadena una respuesta inmune humoral, sino que tambien activa la respuesta inmune celular medida por los linfocitos T, de alli la existencia del analisis Elispot-LTT, cual segun la literatura cientifica tiene mayor especificidad y sensibilidad que incluso el Western blot. El presente caso de cuadro clinico atipico en un bombero con Enferemdad de Lyme y co-infeccion por Rickettsia conorii y Bartonella Heselae. Se declaro como enfermedad profesional dado que se adquirio en el ambito laboral. EnglishAbstract: Lyme disease is caused by the spirochete Borrelia Burgdoferi, which is transmitted by the bite of the tick of the genus Ixodes. The diagnosis is made by ELISA and confirmed by Western blot or PCR. A Borrelia infection not only triggers a humoral immune response, but also activates the cellular immune response measured by the T lymphocytes, hence the existence of the Elispot-LTT analysis, which according to the scientific literature has greater specificity and sensitivity than even the Western blot. The present case of an atypical clinical picture in a firefighter with Lyme disease and co-infection with Rickettsia conorii and Bartonella Heselae. It was declared as a occupational disease since it was acquired in the workplace.