Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Muellegger, RR; Zoechling, N; Soyer, HP; Hoedl, S; Wienecke, R; Volkenandt, M; Kerl, H.
No detection of Borrelia burgdorferi-specific DNA in erythema migrans lesions after minocycline treatment.
Arch Dermatol. 1995; 131(6):678-682
Doi: 10.1001%2Farchderm.131.6.678
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- Führende Autor*innen der Med Uni Graz
- Muellegger Robert
- Co-Autor*innen der Med Uni Graz
- Hoedl Stefan
- Kerl Helmut
- Soyer Hans Peter
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- Abstract:
- BACKGROUND AND DESIGN: Early treatment of erythema migrans is important to prevent late complications. Minocycline possesses several attributes, making it potentially useful in the treatment of borrelial infections. In our study, minocycline was administered to 14 patients with erythema migrans. Punch biopsy specimens were obtained from the (affected) skin of all patients before and after therapy. The formalin-fixed, paraffin-embedded specimens were analyzed by polymerase chain reaction for the presence of Borrelia burgdorferi-specific DNA. RESULTS: Polymerase chain reaction assay succeeded in amplifying B burgdorferi-specific DNA from the first biopsy specimen, obtained from the border of erythema migrans before initiating treatment, in eight (57%) of 14 patients. At the end of minocycline therapy, however, polymerase chain reaction analysis disclosed no B burgdorferi-specific DNA in any of the 14 patients. The good clinical response of our patients with erythema migrans substantiates our molecular findings. CONCLUSIONS: The presented polymerase chain reaction data, together with the clinical outcome, indicate that minocycline may be useful for treatment of early Lyme borreliosis.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Aged -
- Antibodies, Bacterial - analysis
- Borrelia burgdorferi Group - genetics
- DNA, Bacterial - analysis
- Erythema Chronicum Migrans - drug therapy
- Female - drug therapy
- Humans - drug therapy
- Immunoglobulin G - analysis
- Immunoglobulin M - analysis
- Male - analysis
- Middle Aged - analysis
- Minocycline - adverse effects
- Polymerase Chain Reaction - adverse effects
- Skin - drug effects
- Time Factors - drug effects