Lyme Disease in Taiwan: First Human Patient with Characteristic Erythema Chronicum Migrans Skin Lesion

Author:

Shih Chien-Ming1,Wang Jin-Choung2,Chao Li-Lian1,Wu Trong-Neng3

Affiliation:

1. Department of Parasitology and Tropical Medicine, National Defense Medical Center,1

2. Dr. Wang’s Private Clinic,2 and

3. National Quarantine Service, Department of Health, The Executive Yuan,3 Taipei, Taiwan, Republic of China

Abstract

ABSTRACT We report herein the first laboratory-diagnosed case of Lyme disease in a human in Taiwan. A 45-year-old Taiwanese man living in Taipei, in northern Taiwan, had an expanding skin lesion (measuring 23 by 15 cm) on his abdomen for 2 to 3 weeks and recurrent attacks of pain and swelling of the knee joint. Serologic tests indicated a significantly elevated titer of antibody to Borrelia burgdorferi . After appropriate antibiotic treatment for 3 weeks, the skin lesion was cured and the joint swelling was improved. Although several strains of Borrelia spirochetes had been isolated from rodents ( Rattus losea ) in Taiwan, the tick vector responsible for the transmission remains to be identified.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference15 articles.

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3. Recommendations for test performance and interpretation from the second National Conference on Serologic Diagnosis of Lyme disease;Centers for Disease Control and Prevention;Morbid. Mortal. Weekly Rep.,1995

4. Case definitions for infectious condition under public health surveillance;Centers for Disease Control and Prevention;Morbid. Mortal. Weekly Rep.,1997

5. Characterization of Borrelia burgdorferi isolated from Ixodes persulcatus and Ixodes ovatus ticks in Japan;Nakao M.;Am. J. Trop. Med. Hyg.,1992

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