John Lambert, MD
Full Clinical Professor at University College Dublin School of Medicine and Consultant in Infectious Diseases and Genitourinary Medicine at Mater Misericordiae University Hospital
This module provides an overview of fetal risks of untreated Lyme in cases of congenital transmission and background information about related ICD-11 Codes.
- List fetal risks of untreated Lyme in possible and probable congenital transmission.
- Discuss importance of recognition of spirochete transmission from mother to child.
- List adverse outcome statistical differences of fetal outcomes in relationship to treatment of infected mothers.
The AAFP has reviewed “The story of the ICD-11 codes: Congenital Lyme & co-infections” and deemed it acceptable for AAFP credit. Term of approval is from 02/26/2022 to 02/25/2023. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This session is approved for 0.5 online enduring material activity AAFP Prescribed credits.
AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 credit(s)™ toward the AMA Physician’s Recognition Award. When applying for the AMA PRA, Prescribed credit earned must be reported as Prescribed, not as Category 1.
Evidence-based bibliography for further study
NICE Lyme disease: Diagnosis and management [M] person to person transmission; 2018; ISBN 9781473129191.
Lakos, A.; Solymosi, N. Maternal Lyme borreliosis and pregnancy outcome. Int. J. Infect. Dis. 2010, 14, e494-8.
MacDonald, A.B. Human fetal borreliosis, toxemia of pregnancy, and fetal death. Zentralbl. Bakteriol. Mikrobiol. Hyg. A. 1986, 263, 189–200.
MacDonald, A.B. Gestational Lyme Borreliosis. Rheum. Dis. Clin. North Am. 1989, 15, 657–677.
Maraspin, V.; Cimperman, J.; Lotrič-Furlan, S.; Pleterski-Rigler, D.; Strle, F. Treatment of erythema migrans in pregnancy. Clin. Infect. Dis. 1996, 22, 788–793.
Maraspin, V.; Cimperman, J.; Lotric Furlan, S.; Pleterski-Rigler, D.; Strle.F Erythema Migrans in Pregnancy. Wein Klin Wochenschr 1999, 10, 22–23.
Maraspin, V.; Ružić-Sabljić, E.; Pleterski-Rigler, D.; Strle, F. Pregnant women with erythema migrans and – -isolation of borreliae from blood: course and outcome after treatment with ceftriaxone. Diagn. Microbiol. Infect. Dis. 2011, 71, 446–8.
Markowitz, L.; Steere, A.; Benach, J.; Slade, J.; Broome CV Lyme Disease During Pregnancy. JAMA 1986, 255, 3394–6.
Nadal, D.; Hunziker, U.A.; Bucher, H.U.; Hitzig, W.H.; Duc, G. Infants born to mothers with antibodies against Borrelia burgdorferi at delivery. Eur. J. Pediatr. 1989, 148, 426–427.
Strobino, B.A.; Williams, C.L.; Abid, S.; Chalson, R.; Spierling, P. Lyme disease and pregnancy outcome: a prospective study of two thousand prenatal patients. Am. J. Obstet. Gynecol. 1993, 169, 367–74.
Strobino, B.; Abid, S.; Gewitz, M. Maternal Lyme disease and congenital heart disease: A case-control study in an endemic area. Am. J. Obstet. Gynecol. 1999, 180, 711–6.
Williams, C.L.; Strobino, B.; Weinstein, A.; Spierling, P.; Medici, F. Maternal Lyme disease and congenital malformations: a cord blood serosurvey in endemic and control areas. Paediatr. Perinat. Epidemiol. 1995, 9, 320–330.
MacDonald, A.B.; Benach, J.L.; Burgdorfer, W. Stillbirth following maternal Lyme disease. N. Y. State J. Med. 1987, 87, 615–6.
Gerber, M.A.; Zalneraitis, E.L. Childhood neurologic disorders and Lyme disease during pregnancy. Pediatr. Neurol. 1994, 11, 41–43.
Lavoie, P.; Duray, P.; et al Culture positive, seronegative, transplacental Lyme borreliosis infant mortality. Arthritis Rheum 1987, 3.
Walsh, C.A.; Mayer, E.W.; Baxi, L. V. Lyme disease in pregnancy: Case report and review of the literature. Obstet. Gynecol. Surv. 2007, 62, 41–50.
Schaumann, R.; Fingerle, V.; Buchholz, K.; Spencker, F.B.; Rodloff, A.C. Facial Palsy Caused by Borrelia Infection in a Twin Pregnancy in an Area of Nonendemicity. Clin. Infect. Dis. 1999, 29, 955–956.
Weber, K.; Bratzke, H.J.; Neubert, U.; Wilske, B.; Duray, P.H. Borrelia burgdorferi in a newborn despite oral penicillin for Lyme borreliosis during pregnancy. Pediatr. Infect. Dis. J. 1988, 7, 286–9.