[Lyme disease in Upper Normandy: report of a hospital survey].
Identifieur interne : 001842 ( Main/Exploration ); précédent : 001841; suivant : 001843[Lyme disease in Upper Normandy: report of a hospital survey].
Auteurs : C. Marguet [France] ; M. Rouillier-Saas ; E. Mallet ; M. Meunier ; E. Jeannot ; J. Boulloche ; C. ForgetSource :
- Archives de pediatrie : organe officiel de la Societe francaise de pediatrie [ 0929-693X ] ; 2000.
Descripteurs français
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adolescent, Anti-Bacterial Agents (therapeutic use), Borrelia burgdorferi Group (isolation & purification), Child, Child Welfare, Child, Preschool, Female, France (epidemiology), Health Surveys, Hospitalization, Humans, Lyme Disease (diagnosis), Lyme Disease (drug therapy), Lyme Disease (epidemiology), Male, Prevalence, Serologic Tests.
- MESH :
- chemical , therapeutic use : Anti-Bacterial Agents.
- geographic , epidemiology : France.
- diagnosis : Lyme Disease.
- drug therapy : Lyme Disease.
- epidemiology : Lyme Disease.
- isolation & purification : Borrelia burgdorferi Group.
- Adolescent, Child, Child Welfare, Child, Preschool, Female, Health Surveys, Hospitalization, Humans, Male, Prevalence, Serologic Tests.
Abstract
This study presents the results of a hospital survey on Lyme disease in children living in upper Normandy, a region that is quite densely wooded (with 18% forest areas and woods). The aim of this survey was to assess the prevalence of this disease in children from the Seine-Maritime and L'Eure, hospitalized in pediatric wards in the Seine-Maritime department, which includes Rouen, Dieppe, Fécamp, Elbeuf, and Le Havre. Fifteen cases of Lyme disease were diagnosed between September 1988 and June 1997. The children (6 girls and 9 boys) were aged between 5 and 14 years old. Only 7 subjects showed primary symptoms, while secondary symptoms were observed in 12 children. In the study population, a high prevalence (11 out of the 15 children) of neurological disorders was found. The following secondary symptoms were noted: 5 cases of erythema migrans, 2 cases of non-malignant cutaneous lymphocytoma, and 4 cases which in fact had previously displayed primary clinical signs (3 subjects with erythema migrans and 1 subject with non-malignant cutaneous lymphocytoma); 7 cases of uni- or bilateral facial paralysis, the most frequent neurological manifestation with or without lymphocytic meningitis; 1 case of central vestibular syndrome with a hyperalgesic meningoradicular reaction in the vicinity of the tick bite; 1 case of peripheral radicular involvement and intense pain in the left lower limb; 4 cases of ocular disorders (3 diplopias, 1 bilateral conjunctivitis complicated by kerato-uveitis, 1 bilateral complete cecitis). Only 10 child had rheumatological symptoms, i.e., Lyme arthritis of the right knee. Treatment consisted of amoxicillin (10 children) administered at a dosage of 50 to 100 mg/kg/d over a period ranging from 10 days to 1 month, or ceftriaxone (7 children) at a dosage of 50 to 100 mg/kg/d administered intravenously over a period ranging from 8 days to 3 weeks. Two of the children received combined antibiotic therapy, and 5 subjects had adjunct corticotherapy.
PubMed: 10941474
Affiliations:
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Le document en format XML
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Marguet</name><affiliation wicri:level="1"><nlm:affiliation>Service de pédiatrie CHU Charles-Nicolle, Rouen, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Service de pédiatrie CHU Charles-Nicolle, Rouen</wicri:regionArea><placeName><settlement type="city">Rouen</settlement></placeName></affiliation></author><author><name sortKey="Rouillier Saas, M" sort="Rouillier Saas, M" uniqKey="Rouillier Saas M" first="M" last="Rouillier-Saas">M. Rouillier-Saas</name></author><author><name sortKey="Mallet, E" sort="Mallet, E" uniqKey="Mallet E" first="E" last="Mallet">E. Mallet</name></author><author><name sortKey="Meunier, M" sort="Meunier, M" uniqKey="Meunier M" first="M" last="Meunier">M. Meunier</name></author><author><name sortKey="Jeannot, E" sort="Jeannot, E" uniqKey="Jeannot E" first="E" last="Jeannot">E. Jeannot</name></author><author><name sortKey="Boulloche, J" sort="Boulloche, J" uniqKey="Boulloche J" first="J" last="Boulloche">J. Boulloche</name></author><author><name sortKey="Forget, C" sort="Forget, C" uniqKey="Forget C" first="C" last="Forget">C. Forget</name></author></analytic><series><title level="j">Archives de pediatrie : organe officiel de la Societe francaise de pediatrie</title><idno type="ISSN">0929-693X</idno><imprint><date when="2000" type="published">2000</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Anti-Bacterial Agents (therapeutic use)</term><term>Borrelia burgdorferi Group (isolation & purification)</term><term>Child</term><term>Child Welfare</term><term>Child, Preschool</term><term>Female</term><term>France (epidemiology)</term><term>Health Surveys</term><term>Hospitalization</term><term>Humans</term><term>Lyme Disease (diagnosis)</term><term>Lyme Disease (drug therapy)</term><term>Lyme Disease (epidemiology)</term><term>Male</term><term>Prevalence</term><term>Serologic Tests</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Bacterial Agents</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Lyme Disease</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Lyme Disease</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Lyme Disease</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Borrelia burgdorferi Group</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Child</term><term>Child Welfare</term><term>Child, Preschool</term><term>Female</term><term>Health Surveys</term><term>Hospitalization</term><term>Humans</term><term>Male</term><term>Prevalence</term><term>Serologic Tests</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">This study presents the results of a hospital survey on Lyme disease in children living in upper Normandy, a region that is quite densely wooded (with 18% forest areas and woods). The aim of this survey was to assess the prevalence of this disease in children from the Seine-Maritime and L'Eure, hospitalized in pediatric wards in the Seine-Maritime department, which includes Rouen, Dieppe, Fécamp, Elbeuf, and Le Havre. Fifteen cases of Lyme disease were diagnosed between September 1988 and June 1997. The children (6 girls and 9 boys) were aged between 5 and 14 years old. Only 7 subjects showed primary symptoms, while secondary symptoms were observed in 12 children. In the study population, a high prevalence (11 out of the 15 children) of neurological disorders was found. The following secondary symptoms were noted: 5 cases of erythema migrans, 2 cases of non-malignant cutaneous lymphocytoma, and 4 cases which in fact had previously displayed primary clinical signs (3 subjects with erythema migrans and 1 subject with non-malignant cutaneous lymphocytoma); 7 cases of uni- or bilateral facial paralysis, the most frequent neurological manifestation with or without lymphocytic meningitis; 1 case of central vestibular syndrome with a hyperalgesic meningoradicular reaction in the vicinity of the tick bite; 1 case of peripheral radicular involvement and intense pain in the left lower limb; 4 cases of ocular disorders (3 diplopias, 1 bilateral conjunctivitis complicated by kerato-uveitis, 1 bilateral complete cecitis). Only 10 child had rheumatological symptoms, i.e., Lyme arthritis of the right knee. Treatment consisted of amoxicillin (10 children) administered at a dosage of 50 to 100 mg/kg/d over a period ranging from 10 days to 1 month, or ceftriaxone (7 children) at a dosage of 50 to 100 mg/kg/d administered intravenously over a period ranging from 8 days to 3 weeks. Two of the children received combined antibiotic therapy, and 5 subjects had adjunct corticotherapy.</div></front></TEI><affiliations><list><country><li>France</li></country><settlement><li>Rouen</li></settlement></list><tree><noCountry><name sortKey="Boulloche, J" sort="Boulloche, J" uniqKey="Boulloche J" first="J" last="Boulloche">J. Boulloche</name><name sortKey="Forget, C" sort="Forget, C" uniqKey="Forget C" first="C" last="Forget">C. Forget</name><name sortKey="Jeannot, E" sort="Jeannot, E" uniqKey="Jeannot E" first="E" last="Jeannot">E. Jeannot</name><name sortKey="Mallet, E" sort="Mallet, E" uniqKey="Mallet E" first="E" last="Mallet">E. Mallet</name><name sortKey="Meunier, M" sort="Meunier, M" uniqKey="Meunier M" first="M" last="Meunier">M. Meunier</name><name sortKey="Rouillier Saas, M" sort="Rouillier Saas, M" uniqKey="Rouillier Saas M" first="M" last="Rouillier-Saas">M. Rouillier-Saas</name></noCountry><country name="France"><noRegion><name sortKey="Marguet, C" sort="Marguet, C" uniqKey="Marguet C" first="C" last="Marguet">C. Marguet</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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