title: [The clinical manifestations of Lyme borreliosis in the Middle Urals and their association with Borrelia burgdorferi genospecies].
abstract: A parallel study was made of the clinical spectrum of Lyme borreliosis in the Middle Urals and genetic species of the causative agent (Borrelia burgdorferi) in the ticks collected at the same territory. Clinical picture of Lyme borreliosis in the Middle Urals is different from that in America but had similar features with European borreliosis: nervous disorders were more frequent than arthritis, high incidence of the symptoms in segments close to the place of the agent inoculation, low occurrence of secondary erythema and carditis. The collected ticks were Ixodes persulcatus. They carried B. garinii, B. afzelii, VS116 typical for Europe. B. burgdorferi sensu stricto characteristic for USA where arthritis was most common among the symptoms was not detected. Thus, the findings confirm suggestions on association of Lyme borreliosis clinical polymorphism in various geographic zones with genetic heterogeneity of the causative agent.
authors.forename: O M
authors.initials: OM
authors.lastname: Lesnik
authors.forename: O Iu
authors.initials: OIu
authors.lastname: Istomina
authors.forename: S
authors.initials: S
authors.lastname: Rijpkema
authors.forename: H
authors.initials: H
authors.lastname: Bruininck
authors.forename: M L
authors.initials: ML
authors.lastname: Beliaeva
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001096:Arachnid Vectors / Q000382:microbiology; D015748:Borrelia burgdorferi Group / Q000145:classification / Q000235:genetics* / Q000302:isolation & purification; D002648:Child; D002675:Child, Preschool; D005260:Female; D005838:Genotype; D006801:Humans; D018884:Ixodes / Q000382:microbiology; D008193:Lyme Disease / Q000175:diagnosis / Q000382:microbiology*; D008297:Male; D016133:Polymerase Chain Reaction; D012426:Russia
vernacular_title: Klinicheskie proiavleniia Laĭm-borrelioza na Srednem Urale i ikh assotsiatsii s genovidami Borrelia burgdorferi.