Abstract:
:Information on Lyme borreliosis (LB) during pregnancy is limited. In the present study, the course and outcome of erythema migrans (EM) in 304 pregnant women, diagnosed in the period 1990-2015, was assessed and compared with that in age-matched non-pregnant women. The frequency of unfavorable outcome of pregnancies was also evaluated. The pregnant women reported constitutional symptoms less frequently than the non-pregnant women (22.4% vs. 37.2%, p < 0.001). Pregnant women diagnosed with EM later during pregnancy had a lower probability of reporting constitutional symptoms (odds ratio = 0.97 for 1-week difference in gestation week at diagnosis of EM, 95% CI: 0.94-0.99, p = 0.02). The outcome of pregnancy was unfavorable in 42/304 (13.8%) patients: preterm birth in 22/42 (52.4%), fetal/perinatal death in 10/42 (23.8%), and/or anomalies in 15/42 (35.7%). Several patients had potential explanation(s) for the unfavorable outcome. In conclusion, the course of early LB during pregnancy is milder than in age-matched non-pregnant women. The outcome of pregnancy with the treatment approach used in the present study (i.v. ceftriaxone 2 g once daily for 14 days) is favorable.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Maraspin V,Lusa L,Blejec T,Ružić-Sabljić E,Pohar Perme M,Strle Fdoi
10.3390/jcm9082364subject
Has Abstractpub_date
2020-07-24 00:00:00issue
8issn
2077-0383pii
jcm9082364journal_volume
9pub_type
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更新日期:2019-02-25 00:00:00
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更新日期:2020-04-28 00:00:00
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更新日期:2020-05-14 00:00:00
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