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Between 1994 and 2009, incidence rates of general practitioner (GP) consultations for tick bites and erythema migrans, the most common early manifestation of Lyme borreliosis, have increased substantially in the Netherlands. The current article aims to estimate and validate the incidence of GP-reported Lyme carditis in the Netherlands.
We sent a questionnaire to all GPs in the Netherlands on clinical diagnoses of Lyme borreliosis in 2009 and 2010. To validate and adjust the obtained incidence rate, medical records of cases of Lyme carditis reported by GPs in this incidence survey were reviewed and categorised according to likelihood of the diagnosis of Lyme carditis.
Lyme carditis occurred in 0.2 % of all patients with GP-reported Lyme borreliosis. The adjusted annual incidence was six GP-reported cases of Lyme carditis per 10 million inhabitants, i.e. approximately ten cases per year in 2009 and 2010.
We report the first incidence estimate for Lyme carditis in the Netherlands, validated by a systematic review of the medical records. Although Lyme carditis is an uncommon manifestation of Lyme borreliosis, physicians need to be aware of this diagnosis, in particular in countries where the incidence of Lyme borreliosis has increased during the past decades.
Centers for Disease Control and Prevention (CDC). Three sudden cardiac deaths associated with Lyme carditis—United States, November 2012-July 2013. MMWR Morb Mortal Wkly Rep. 2013;62(49):993–6.
Hofhuis A, Harms MG, van den Wijngaard CC, Sprong H, van Pelt W. Continuing increase of tick bites and Lyme disease between 1994 and 2009. Ticks Tick-Borne Dis. 2015;6(1):69–74. doi:j.ttbdis.2014.09.006.
Nygård K, Brantsaeter AB, Mehl R. Disseminated and chronic Lyme borreliosis in Norway, 1995–2004. Euro Surveill. 2005;10(10):235–8. PubMed
Aeschlimann A, Chamot E, Gigon F, Jeanneret JP, Kesseler D, Walther C. B. burgdorferi in Switzerland. Zentralbl Bakteriol Mikrobiol Hyg A. 1987;263:450–8. PubMed
Satz N, Ackermann R, Gern L, Aeschlimann A, Ott A, Knoblauch M. The epidemiology of Borrelia burgdorferi infections. A pilot study from the Männedorf area. Schweiz Med Wochenschr. 1988;118:422–6. PubMed
Schmidt R, Kabatzki J, Hartung S, Ackermann R. Erythema chronicum migrans disease in the Federal Republic of Germany. Zentralbl Bakteriol Mikrobiol Hyg A. 1987;263:435–41. PubMed
Stanek G, Flamm H, Groh V, et al. Epidemiology of borrelia infections in Austria. Zentralbl Bakteriol Mikrobiol Hyg A. 1987;263:442–9. PubMed
Forrester JD, Meiman J, Mullins J, et al. Notes from the field: update on lyme carditis, groups at high risk, and frequency of associated sudden cardiac death—United States. MMWR Morb Mortal Wkly Rep. 2014;63(43):982–3. PubMed
- General practitioner reported incidence of Lyme carditis in the Netherlands
W. van Pelt
- Bohn Stafleu van Loghum