title: Hospitalisation due to Lyme disease: case series in British Forces Germany.
abstract: Lyme disease is a tick-transmitted infection with disabling sequelae and important occupational health implications for a military workforce. It is likely that some military patients with typical clinical signs remain undiagnosed and untreated. Prompt treatment with an antibiotic is essential, besides targeted education on preventing infection through avoiding exposure to tick bites. We describe four British Forces Germany personnel (two serving military personnel, one adult civilian, one child) who during 2002--2003 required hospital inpatient treatment for Lyme disease. The epidemiology, pathogenesis, clinical features, diagnosis and treatment of the disease are discussed.
authors.affiliation: DipSport&TI RAMC, Paderborn, Talbot Barracks.
authors.forename: B C
authors.initials: BC
authors.lastname: Baker
authors.forename: A M
authors.initials: AM
authors.lastname: Croft
authors.forename: C R
authors.initials: CR
authors.lastname: Crwinfield
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000145:classification / Q000627:therapeutic use; D001733:Bites and Stings / Q000382:microbiology; D025065:Borrelia burgdorferi / Q000276:immunology / Q000472:pathogenicity; D002648:Child; D005260:Female; D005858:Germany; D006760:Hospitalization; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D018884:Ixodes / Q000382:microbiology; D008193:Lyme Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000276:immunology; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D011843:Radiculopathy / Q000188:drug therapy / Q000382:microbiology; D006113:United Kingdom / Q000208:ethnology
chemical_list: D000900:Anti-Bacterial Agents; D007074:Immunoglobulin G