Abstract:

Lyme disease is caused by the spirochete Borrelia Burgdoferi, which is transmitted by the bite of the tick of the genus Ixodes. The diagnosis is made by ELISA and confirmed by Western blot or PCR. A Borrelia infection not only triggers a humoral immune response, but also activates the cellular immune response measured by the T lymphocytes, hence the existence of the Elispot-LTT analysis, which according to the scientific literature has greater specificity and sensitivity than even the Western blot. The present case of an atypical clinical picture in a firefighter with Lyme disease and co-infection with Rickettsia conorii and Bartonella Heselae. It was declared as a occupational disease since it was acquired in the workplace.