title: [Lyme disease in Pediatrics: different faces, the same disease. Cases series].
abstract: Lyme disease is caused by Borrelia burgdorferi infection which is transmitted by Ixodes ricinus. Erythema migrans, a rash spreading from the site of a tick bite, is the earliest and most common manifestation of the disease. If untreated, late manifestations of disseminated disease, mainly neurological and musculoskeletal, may occur. Serologic studies are usually negative in early stages and are not necessary to confirm the diagnosis in cases of erythema migrans. Laboratory confirmation is needed for disseminated disease. Most presentations, including facial nerve palsy, can be treated with oral antibiotics. Ceftriaxone is recommended in other cases of neuroborreliosis. Four cases of Lyme disease in children are reported to illustrate the different presentations of this disease and its management in children.
authors.affiliation: Centro de Salud Severo Ochoa.
authors.forename: Cristina
authors.initials: C
authors.lastname: Suárez Castañón
authors.affiliation: Centro de Salud Severo Ochoa.
authors.forename: Verónica
authors.initials: V
authors.lastname: García González
authors.affiliation: Centro de Salud Severo Ochoa.
authors.forename: Elena
authors.initials: E
authors.lastname: Díaz Díaz
authors.affiliation: Centro de Salud Severo Ochoa.
authors.forename: Purificación
authors.initials: P
authors.lastname: López Vilar
authors.affiliation: Centro de Salud Severo Ochoa.
authors.forename: Carlos
authors.initials: C
authors.lastname: Pérez Méndez
mesh_terms: D002648:Child; D002675:Child, Preschool; D015787:Erythema Chronicum Migrans / Q000175:diagnosis; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*; D008297:Male