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Lyme disease (also known as borreliosis) is defined as an infectious disease caused by a spirochete called Borrelia burgdorferi. It occurs in three stages: early localized infection, early disseminated infection and late persistent infections that affect many organs. In order to assess the clinical course, including the transition to the late persistent infection stage, medical records of a group of 175 patients, who reported at the Infectious Disease Clinic in Szczecin after treating chronic erythema in 2004, were analyzed. Clinical symptoms, presence of serological exponents and frequency of transition into the late persistent infection stage were assessed. In majority of the observed patients, the infection was limited to erythema migrans. Average time, in which serological negativization in the IgM class occurred was 13.2 months, 15 people throughout the observation time showed the presence of antibodies in the IgM class, which were not associated with clinical exponents of the disease. In 8 patients (4.6%) the infection turned into a chronic-arthral form. Lyme borreliosis, when properly treated and taken care of in the first stage, rarely becomes a chronic disease.
Malaria remains a major health issue In the world, while in Poland no cases of the indigenous disease have been observed since 60-ties of the last century, but the number of cases imported from the epidemic areas is increasing. The aim of work was to analyse the epidemiology of malaria diagnosed and treated in the Department of Infectious Diseases and Hepatology, Pomeranian Medical University, Szczecin, Poland from 1.02.2010 until 31.01.2011. In total 11 cases were found, all diagnoses based on the thick and thin blood smear microscopy, alongside to the standard laboratory analyses.All clinical data presented are based on the case history. Results: Majoriry of cases reported travel to Sub-Saharan Africa (45%) or Indian subcontinent (27%). The travel was usually for recreational purposes, with significant proportion (45%) of patient not taking the malaria prophylaxis. Clinical course of infections was largely mild, with dominance of Pl. Falciparum parasitaemia. Fever was the most common clinical symptom (90%), while in the routine laboratory test no significant abnormalities, suggesting the disease, were found. Conclusions: malaria should be suspected in every case of the returning traveler with fever, especially if the travel was to the endemic area. The exclusion of the disease cannot be based on routine laboratory tests or quick immunoassays – thick and thin blood smear microscopy must be performed.
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