Borreliosis during pregnancy - a case report and literature review

M.M. Cîrstoiu, O. Munteanu, D. Voicu, L. Arsene, C. Berceanu, M. Sajin, A. Dumitru, R. Bohîlțea, O. Săndulescu, O. Bodean

Rezumat: Borreliosis is one of the most common diseases transmitted by ticks. Clinical diagnosis is difficult due to non-specific symptoms and the fact that usually the patient does not remember when he was bitten by a tick, especially since the skin lesion, erythema migrans, is inconstant. We report the case of a 33-year-old patient, secundigesta, secundiparous, who attended her obstetrician during the 22nd week of pregnancy for fatigue and the appearance of erythematous lesions on the posterior region of her left calf. Following clinical and para-clinical examination she was diagnosed with borreliosis. Rapid antibiotic treatment was indicated. The evolution of pregnancy was normal. No fetal malformations were detected. At 39 weeks of pregnancy she delivered by cesarean section due to uterine rupture imminence a healthy male, weighing 3450 g, IA = 9. The impact of Lyme disease on pregnant women is difficult to assess. Maternal and fetal prognosis seems to be favorable if the diagnosis is established rapidly and an appropriate antibiotic therapy is indicated.
Cuvinte cheie: borreliosis, pregnancy, management.