Baggio-Yoshinari syndrome: a literature review
DOI:
https://doi.org/10.11606/issn.1679-9836.v99i5p503-511Keywords:
Tick-Borne Diseases, Borrelia Burgdorferi, Spirochaetales, Zoonoses, TicksAbstract
Baggio-Yoshinari Syndrome (BYS) is an emergent Brazilian zoonosis that presents similarities with Lyme disease (LD), differing in some clinical and immunological aspects. Both diseases are caused by Borrelia Burgdorferi sensu lato, spirochetes transmitted to the vertebrate host by tick bites. In this study, an integrative review was aimed about the BYS, abranging large aspects like diseases history, clinical manifestations, immune events, diagnostic and treatment. A bibliographic survey was conducted in PubMed/MEDLINE, Scielo, Science Direct, Lilacs e Bireme databases, where 25 scientific articles were extracted for analysis, without temporal delimitation. It was evidenced the large geographical and biological diversity of Brazil contributed to the occurrence of changes in B. burgdorferi that results in SBY particularities. The bacterium, helped by proteins of the tick saliva can overcome immunological barriers to complete the infection. Initially, the diagnosis is based on the presence of oligoarthritis, and neurological, dermatological, cardiac or ocular symptoms may also be present, followed by the assessment of other clinical and laboratory criteria. The treatment consists in the use of doxycycline or amoxicillin associated with other drugs according to the clinical manifestations. The results suggest that SBY, despite the low number of studies about this pathology, is configured like an emerging disease that needs more attention from the scientific community to permit early disease diagnosis avoiding chronic events in the patients.
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