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Borreliosis may be associated with unspecific symptoms and thus not only cause difficulties in diagnosis but also lead to overdiagnosis.
PATIENTS AND METHODS:
Data on 134 patients (mean age 47 [12?-?78] years, 51.5?% male) with suspected borreliosis presenting at the university hospital Regensburg were analyzed retrospectively.
The majority of patients had been adequately treated for borreliosis previously. 34 patients (25.4?%) had proven or possible borreliosis, 20 patients (14.9?%) presented for consultation only. Regarding the remaining 80 patients (59.7?%), in 36 (45?%) a rheumatologic, orthopedic or neurologic
disease was found as causal for the presenting symptoms, in 44 (55?%) no somatic
disease could be diagnosed.
A careful differential diagnosis seems mandatory in patients with suspected borreliosis and persistent complaints.
© Georg Thieme Verlag KG Stuttgart · New York.