Post by Admin/ Traveler on Feb 7, 2019 20:34:36 GMT
This is a pdf, and there is only a short paragraph about the findings, so I'll just post the entire paragraph below, with extra spacing for your reading comfort
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EROSIVE VULVOVAGINITIS ASSOCIATED WITH BORRELIA BURGDORFERI INFECTION
Western Medical Research conference (formerly Western Regional Meeting)
January 24-26 2019 Carmel, California
"Case report We describe a case of acute erosive vulvovaginitis associated with infection by the Lyme spirochete, Borrelia burgdorferi (Bb).
The patient is a 57-year-old woman who had been diagnosed with Lyme disease based on serological testing and systemic symptoms consistent with tick-borne disease, and she was being treated with oral antibiotics.
She presented with a painful genital lesion. Histological examination was not characteristic of any typical pattern found in erosive vulvar conditions.
However, Dieterle staining for spirochetal infection demonstrated visible spirochetes throughout the stratum spinosum and stratum basale, and immunostaining for Bb antigens was positive.
A vaginal culture yielded motile spirochetes, and polymerase chain reaction (PCR) testing identified the cultured spirochetes as B. burgdorferi sensu stricto.
PCR amplification for Treponema pallidum and T. denticola gene targets was negative, and the patient had negative syphilis serology.
Her lesion improved with additional systemic and topical antibiotics. Bb has been cultured from vaginal and seminal secretions of Lyme disease patients. The presence of active infection in an erosive genital lesion provides corroborative evidence that sexual transmission of Lyme disease may be possible.
Spirochetal infection with Bb should be considered in cases of genital ulceration that have no identifiable etiology."
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EROSIVE VULVOVAGINITIS ASSOCIATED WITH BORRELIA BURGDORFERI INFECTION
Western Medical Research conference (formerly Western Regional Meeting)
January 24-26 2019 Carmel, California
"Case report We describe a case of acute erosive vulvovaginitis associated with infection by the Lyme spirochete, Borrelia burgdorferi (Bb).
The patient is a 57-year-old woman who had been diagnosed with Lyme disease based on serological testing and systemic symptoms consistent with tick-borne disease, and she was being treated with oral antibiotics.
She presented with a painful genital lesion. Histological examination was not characteristic of any typical pattern found in erosive vulvar conditions.
However, Dieterle staining for spirochetal infection demonstrated visible spirochetes throughout the stratum spinosum and stratum basale, and immunostaining for Bb antigens was positive.
A vaginal culture yielded motile spirochetes, and polymerase chain reaction (PCR) testing identified the cultured spirochetes as B. burgdorferi sensu stricto.
PCR amplification for Treponema pallidum and T. denticola gene targets was negative, and the patient had negative syphilis serology.
Her lesion improved with additional systemic and topical antibiotics. Bb has been cultured from vaginal and seminal secretions of Lyme disease patients. The presence of active infection in an erosive genital lesion provides corroborative evidence that sexual transmission of Lyme disease may be possible.
Spirochetal infection with Bb should be considered in cases of genital ulceration that have no identifiable etiology."