Klinička slika Lajmske bolesti sa oftalmološkom manifestacijom, akutnim iridociklitisom - prikaz slučaja

Abstract

Lyme disease is a multisystem illness, with many of the clinical manifestations, caused by a spiral, mobile bacteria Borrelia burgdorferi. It is transferred by the tick bite from the genus Ixodes. The disease may have a skin, articular, cardiac and neurological manifestations. There are little data about ophthalmological disease manifestations. They may be independent or as a part of other clinical manifestations and can occur in all parts of the eye. The paper presents clinical signs of Lyme disease in the patient with iridocyclitis, as the eye manifestation. The patient had earlier tick bite, but denied skin manifestations. During the hospitalization in Department of Ophthalmology, she was treated by local and systemic ophthalmological therapy, when inflammatory ocular reaction was rehabilitated. She was visited by a cardiologist, rheumatologist, pulmologist, hematologist and otolaryngologist and it was made the corresponding diagnostic with laboratory analysis. Because of positive serological result to Borrelia burgdorferi in the IgM class, established by Enzyme-linked immunosorbent assay (Elisa) for the detection of antibodies and methods of molecular biology, genetic method (Western-blot), with present clinical manifestation and other physical findings neat. She was hospitalized in the Infectious Department to implement parenteral antibiotic therapy. After 11 months of ophthalmologic treatment, ophthalmologic finding has became neat, except one thin synechia which remained on the right eye and ophthalmic therapy was finished, and was scheduled inspections on 6 months. The patient was in a good general condition with no problems and is further implemented infectological and serological control. Ophthalmological manifestations are rare, but serious, and it is necessary to properly diagnose the above forms of Lyme disease.