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Borrelia Burgdorferi Case Study

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Transmission
The first case of maternal-fetal transmission of the Lyme disease spirochete, Borrelia burgdorferi (B. burgdorferi), was observed in 1983, following the postpartum death of an infant born to a Wisconsin woman (Schlesinger, Duray, Burke, Steere, & Stillman, 1985). The 28-year-old mother developed Lyme disease during the first trimester of pregnancy but did not report symptoms, as all resolved quickly in the absence of treatment (Schlesinger et al., 1985). The pregnancy resulted in the delivery of an infant male who died 39 hours after birth due to cardiovascular defects (Schlesinger et al., 1985). Upon autopsy, the spirochete B. burgdorferi was observed in the infant’s spleen, kidney, and bone marrow (Schelesinger et al., 1985).
In the years since this initial case was discovered, the transplacental transmission of B. burgdorferi to fetal organs during pregnancy has been well documented throughout the literature (Markowitz, Steere, Benach, Slade, Broome, 1986; MacDonald, 1986; MacDonald, 1989; Maraspin, Cimperman, Lotric-Furlan, Pleterski-Rigler, & Strle, 1996; Goldenberg & Thompson, 2003; …show more content…

Related animal studies provide evidence of an association between acute infection with B. burgdorferi early on in gestation and fetal death in a population of mice, but report no link between chronic infection and fetal death (Silver, Yang, Daynes, Branch, Salafia, & Weis, 1995). These data were consistent with those observed within human populations, as each of the reported cases of fetal loss associated with Lyme disease have been a result of acute infection during pregnancy (MacDonald, 1989; Markowitz et al., 1986; Schlesinger et al.,

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