Mental disorders in the course of lyme borreliosis and tick borne encephalitis 
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 Mental disorders in the course of lyme borreliosis and tick borne encephalitis

Przegl Epidemiol. 2002;56 Suppl 1:37-50.  Related Articles, Links  

[Mental disorders in the course of lyme borreliosis and tick borne
encephalitis]

[Article in Polish]

Juchnowicz D, Rudnik I, Czernikiewicz A, Zajkowska J, Pancewicz SA.

Klinika Psychiatrii AM w Bialymstoku.

BACKGROUND: Lyme borreliosis is a chronic, multisystem disease, of prolong
course with three consecutive stages, caused by a tick-transmitted spirochete
Borrelia burgdorferi. Tick Borne Encephalitis (TBE) is neuroinfection caused by
Tick Borne Encephalitis Virus (TBEV). OBJECTIVE: We evaluated the occurrence of
psychiatric manifestations in the early phase of borreliosis-erythema migrans
and neuroboreliosis as well as in its late phase--in arthritis and in the
Tick-Born Encephalitis. The aim of the study was to single out the most
frequent psychiatric symptoms and psychopathological syndroms and to determine
their dynamics. METHODS: The study was carried out between 1999 and 2000 and
comprised 174 patients of the Department of Psychiatry and Department of
Infectious and Neuroinfectious Diseases of Medical Academy in Bialystok.
Seventy seven patients diagnosed with arthritis, 20 with neuroborreliosis, 26
with skin manifestation-erythrema migrans and 51 with KZM participated. All
subjects underwent psychiatric evaluation twice--during hospitalization and six
month after discharge. Mental status examinations included general psychiatric
examination and battery of scales and tests: Mini Mental State Examination,
Beck Depression Inventory, Hamilton Depression Rating Scale, Hamilton Anxiety
Rating Scale, Reitan's Trail Making Test, Choynowsky Memory Scale, Symptoms
Inventory and neuropsychological testing. RESULTS: Both in the course of TBE
and Lyme borreliosis the majority of patients experienced psychiatric problems
in the acute phase of disease as well as in the late phase--3, 6 months after
the onset of the disease. The most common psychiatric manifestations were
depressive disorders--episodes of depression or organic mood disorders, and
cognitive deficits which manifest themselves as mild cognitive disorder or
dementia. CONCLUSION: Psychiatric assessment is important in early stage of kzm
and borreliosis but first of all after termination of acute symptomatology.

PMID: 12194228 [PubMed - indexed for MEDLINE]



Wed, 01 Mar 2006 21:18:17 GMT
 
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