4.4 Article

Emergence of Lyme borreliosis in the province of Verona, Northern Italy: Five-years of sentinel surveillance

Journal

TICKS AND TICK-BORNE DISEASES
Volume 12, Issue 2, Pages -

Publisher

ELSEVIER GMBH
DOI: 10.1016/j.ttbdis.2020.101628

Keywords

Lyme borreliosis; Epidemiology; Tick-borne diseases; Italy; Europe

Funding

  1. Italian Ministry of Health Fondi Ricerca Corrente -progetto L1P2

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The study revealed a significant increase in the incidence of Lyme borreliosis in the province of Verona, Northern Italy, with early localized Lyme borreliosis being the most common presentation. It emphasizes the need to increase knowledge on the epidemiology and clinical manifestation of Lyme borreliosis to allow for early diagnosis and treatment.
We investigated the epidemiology, clinical manifestations, laboratory data and antibiotic treatment of Lyme borreliosis in the province of Verona, Northern Italy, during the period 2015-2019. One hundred and 29 cases of Lyme borreliosis were diagnosed in a single hospital representing 27 % of all cases reported in the Veneto region in the same period. The mean annual incidence of Lyme borreliosis was 0.992/100,000 inhabitants. A peak incidence of 2/100,000 inhabitants was observed in 2018. Early localized Lyme borreliosis was the most common presentation (74 %), followed by early disseminated Lyme borreliosis (21 %). One possible early Lyme neuroborreliosis and two cranial neuropathies were diagnosed. IgM and/or IgG borrelia antibodies were positive in 90 % of the cases. This significant increase of Lyme borreliosis incidence in the province of Verona highlights the need to increase knowledge on its epidemiology and clinical manifestation among both the general population and clinicians to allow early diagnosis and treatment.

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