Comprehensive review of Lyme disease in Ecuador with a detailed case study of a patient from Esmeraldas

Juan Pablo Dominguez Enriquez 1, *, Cristian David Cusco Cuzco 2 and Byron Danilo Auquillas Cajamarca 3

1 PhD candidate in the Department of Microbiology at the University of Minho, Scholar at the Secretary of Higher Education, Science, Technology and Innovation (SENESCYT), Quito, Ecuador.
2 Junior Doctor at Medical Department, Oasis of the Seas, Royal Caribbean, Miami, USA.
3 Family Doctor at Medical Department of Chillogallo, Quito-Ecuador.
 
Review
World Journal of Biology Pharmacy and Health Sciences, 2024, 19(02), 316–321.
Article DOI: 10.30574/wjbphs.2024.19.2.0531
Publication history: 
Received on 05 July 2024; revised on 13 August 2024; accepted on 16 August 2024
 
Abstract: 
Lyme disease, caused by the bacterium Borrelia burgdorferi, is the most prevalent tick-borne illness worldwide, yet its presence in Ecuador remains under-researched and under-diagnosed. This case report highlights the clinical presentation, diagnostic challenges, and treatment of Lyme disease in a 49-year-old female patient from Atacames, Ecuador. The patient presented to the outpatient clinic with pain in the right upper limb, particularly in the elbow joint, accompanied by a history of tick infestation. Serological tests, including ELISA showing elevadet IgM titers. The patient showed significant improvement with a two-week course of doxycycline. This case emphasizes the need for increased clinical awareness and research on Lyme disease in Ecuador to enhance diagnosis, treatment, and epidemiological reporting.
 
Keywords: 
Lyme disease; Tick infestation; Ecuador; Borrelia burgdorferi; Antibiotic treatment; Review; Case report; Ibarra; Atacames; Ecuador
 
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