<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2604-1227</journal-id>
<journal-title><![CDATA[Revista mexicana de oftalmología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. oftalmol]]></abbrev-journal-title>
<issn>2604-1227</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Oftalmología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2604-12272020000100039</article-id>
<article-id pub-id-type="doi">10.24875/rmo.m18000039</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Uveítis secundaria a Borreliosis de Lyme en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Uveitis associated with Lyme disease in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez-García]]></surname>
<given-names><![CDATA[Alejandro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arroyo-Garza]]></surname>
<given-names><![CDATA[Isidora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patiño-Ramirez]]></surname>
<given-names><![CDATA[Beatriz E.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Oftalmología y Ciencias Visuales Servicio de Inmunología Ocular y Uveítis ]]></institution>
<addr-line><![CDATA[ Nuevo León]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Tecnológico y de Estudios Superiores de Monterrey Escuela de Medicina y Ciencias de la Salud ]]></institution>
<addr-line><![CDATA[ Nuevo León]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>94</volume>
<numero>1</numero>
<fpage>39</fpage>
<lpage>45</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2604-12272020000100039&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2604-12272020000100039&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2604-12272020000100039&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: La borreliosis de Lyme es una infección multisistémica rara, y al igual que ocurre en otros países, en México rara vez se considera en el diagnóstico diferencial de ciertas formas de uveítis debido al desconocimiento de los factores de riesgo de contagio por Borrelia burgdorferi. El presente reporte tiene como objetivo revisar dichos factores de riesgo, las características clínicas de la afección ocular, así como su sospecha en pacientes susceptibles.  Observaciones: Paciente femenina, 4 años, con ojo rojo y visión borrosa bilateral de 6 semanas de evolución. Mialgias-artralgias, erupción cutánea y cuadro respiratorio las 10 semanas previas. Tratada como panuveítis bilateral con esteroides tópicos y sistémicos por 20 días sin mejoría. Agudeza visual 20/200, células 3+ en cámara anterior y vitreítis difusa 2+ en ambos ojos. Pérdida de bordes del nervio óptico derecho; exudados perivasculares e infiltrados coriorretinianos color blanco-cremoso en la periferia en ambos ojos. Se diagnosticó coriorretinitis multifocal, papilitis y vasculitis retiniana con serología positiva para B. burgdorferi. Tratada con amoxicilina 250 mg cada 8 h por vía oral por 3 semanas con resolución del cuadro inflamatorio.  Conclusiones: El diagnóstico de borreliosis de Lyme en etapas tempranas es difícil debido a los signos inespecíficos y la seroconversión inconstante. La uveítis por Borrelia burgdorferi debe considerarse en todo paciente bajo riesgo que presente manifestaciones neurooftalmológicas asociadas a uveítis bilateral crónica refractaria a tratamiento con esteroides.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: Lyme disease is a rare multi-systemic infection and like in many other countries, in Mexico it is rarely considered in the differential diagnosis of certain forms of uveitis due to lack of knowledge about the risk factors of Borrelia burgdorferi infection. This report aims to review such risk factors, the clinical characteristics of ocular involvement, as well as the keys to suspect the disease in susceptible patients.  Observations: A 4-year-old female with a 6-week history of bilateral red eye and blurred vision. The patient referred muscular and joints pain, skin rash, and respiratory symptoms 10 weeks before. She was previously treated for bilateral panuveitis with topical and systemic steroids during 20 days without improvement. Visual acuity was 20/200, with 3+ cells in the anterior chamber, and 2+ diffuse vitritis. Blurred right disk margins, perivascular sheathing, and multiple chorioretinal white-cream-colored infiltrates in the peripheral retina of both eyes. Multifocal chorioretinitis, papillitis, and vasculitis were diagnosed with a positive serology for B. burgdorferi. Treatment consisted in 250 mg of oral amoxicillin every 8 h for 3 weeks, with complete resolution of inflammation.  Conclusions: The diagnosis of Lyme disease at early stages is difficult due to its unspecific signs and inconsistent serology. Uveitis due to B. burgdorferi must be considered in every patient at risk who presents with neuro-ophthalmologic manifestations associated with chronic bilateral uveitis refractory to steroid therapy.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Borreliosis ocular]]></kwd>
<kwd lng="es"><![CDATA[Lyme]]></kwd>
<kwd lng="es"><![CDATA[Borrelia burgdorferi]]></kwd>
<kwd lng="es"><![CDATA[Uveítis]]></kwd>
<kwd lng="es"><![CDATA[Coriorretinits]]></kwd>
<kwd lng="es"><![CDATA[Papilitis]]></kwd>
<kwd lng="en"><![CDATA[Ocular borreliosis]]></kwd>
<kwd lng="en"><![CDATA[Lyme]]></kwd>
<kwd lng="en"><![CDATA[Borrelia burgdorferi]]></kwd>
<kwd lng="en"><![CDATA[Uveitis]]></kwd>
<kwd lng="en"><![CDATA[Chorioretinitis]]></kwd>
<kwd lng="en"><![CDATA[Neuroretinitis]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pfister]]></surname>
<given-names><![CDATA[HW]]></given-names>
</name>
<name>
<surname><![CDATA[Wilske]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Weber]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lyme borreliosis:basic science and clinical aspects]]></article-title>
<source><![CDATA[Lancet]]></source>
<year>1994</year>
<volume>343</volume>
<page-range>1013-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Keirans]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Hutcheson]]></surname>
<given-names><![CDATA[HJ]]></given-names>
</name>
<name>
<surname><![CDATA[Durden]]></surname>
<given-names><![CDATA[LA]]></given-names>
</name>
<name>
<surname><![CDATA[Klompen]]></surname>
<given-names><![CDATA[JSH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ixodes (Ixodes) scapularis (Acari Ixodidae):redescription of all active stages, distribution, hosts, geographical variation, and medical and veterinary importance]]></article-title>
<source><![CDATA[J Med Entom]]></source>
<year>1996</year>
<volume>33</volume>
<page-range>297-318</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kohls]]></surname>
<given-names><![CDATA[GM]]></given-names>
</name>
<name>
<surname><![CDATA[Clifford]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Three new species of Ixodes from Mexico and description of the male of I. auritulus auritulus Neumann, I. conepati Cooley and Kohls and I. lasallei Mendez and Ortiz (Acarina Ixodidae)]]></article-title>
<source><![CDATA[J Parasitol]]></source>
<year>1966</year>
<volume>52</volume>
<page-range>810-20</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martinez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Cantu]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Miller]]></surname>
<given-names><![CDATA[DK]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serosurvey for selected disease agents in white-tailed deer from Mexico]]></article-title>
<source><![CDATA[J Wild Life Dis]]></source>
<year>1999</year>
<volume>35</volume>
<page-range>799-803</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gordillo-Pérez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Solórzano-Santos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Garduño-Bautista]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia-Conyer]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudio seroepidemiológico de borreliosis de Lyme en la ciudad de México y el noreste de la república mexicana]]></article-title>
<source><![CDATA[Salud Publica Mexico]]></source>
<year>2003</year>
<volume>45</volume>
<page-range>351-5</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Steere]]></surname>
<given-names><![CDATA[AC]]></given-names>
</name>
<name>
<surname><![CDATA[Malawista]]></surname>
<given-names><![CDATA[SE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cases of Lyme disease in the United States:Locations correlated with distribution of Ixodes dammini]]></article-title>
<source><![CDATA[Ann Intern Med]]></source>
<year>1979</year>
<volume>91</volume>
<page-range>730-3</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vargas]]></surname>
<given-names><![CDATA[MH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lyme disease in Mexico City]]></article-title>
<source><![CDATA[Salud Publica Mexico]]></source>
<year>1993</year>
<volume>35</volume>
<page-range>435-6</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arroyave]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[RT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad de Lyme:Informe de dos casos]]></article-title>
<source><![CDATA[Bol Med Hosp Infant Mex]]></source>
<year>1994</year>
<volume>51</volume>
<page-range>117-21</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gordillo-Pérez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Solórzano-Santos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Cedillo]]></surname>
<given-names><![CDATA[RR]]></given-names>
</name>
<name>
<surname><![CDATA[Tapia]]></surname>
<given-names><![CDATA[CR]]></given-names>
</name>
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serological evidence of Lyme disease in Mexico]]></article-title>
<source><![CDATA[Arch Med Res]]></source>
<year>1999</year>
<volume>30</volume>
<page-range>64-8</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salinas-Meléndez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Avalos-Ramírez]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Riojas-Valdez]]></surname>
<given-names><![CDATA[VM]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Muñoz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Serological survey of canine borreliosis]]></article-title>
<source><![CDATA[Rev Latinoam Microbiol]]></source>
<year>1999</year>
<volume>41</volume>
<page-range>1-3</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gordillo-Pérez]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Solórzano-Santos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[de]]></surname>
<given-names><![CDATA[Martino S]]></given-names>
</name>
<name>
<surname><![CDATA[Lipsker]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Velazquez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Borrelia burgdorferi infection and cutaneous Lyme disease, Mexico]]></article-title>
<source><![CDATA[Emerg Infect Dis]]></source>
<year>2007</year>
<volume>13</volume>
<page-range>1556-8</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huppertz]]></surname>
<given-names><![CDATA[HI]]></given-names>
</name>
<name>
<surname><![CDATA[Münchmeier]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Lieb]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ocular manifestations in children and adolescents with Lyme arthritis]]></article-title>
<source><![CDATA[Br J Ophthalmol]]></source>
<year>1999</year>
<volume>83</volume>
<page-range>1149-52</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gordillo-Pérez]]></surname>
<given-names><![CDATA[MG]]></given-names>
</name>
<name>
<surname><![CDATA[Solórzano-Santos]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Enfermedad de Lyme. Experiencia en niños mexicanos]]></article-title>
<source><![CDATA[Bol Med Hosp Infant Mexico]]></source>
<year>2010</year>
<volume>67</volume>
<page-range>164-76</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mikkilä]]></surname>
<given-names><![CDATA[HO]]></given-names>
</name>
<name>
<surname><![CDATA[Seppälä]]></surname>
<given-names><![CDATA[IJ]]></given-names>
</name>
<name>
<surname><![CDATA[Viljanen]]></surname>
<given-names><![CDATA[MK]]></given-names>
</name>
<name>
<surname><![CDATA[Peltomaa]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Karma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The expanding clinical spectrum of ocular lyme borreliosis]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>2000</year>
<volume>107</volume>
<page-range>581-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Nelson]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Molins]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Mead]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Schriefer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Current guidelines, common clinical pitfalls, and future directions for laboratory diagnosis of Lyme disease, United States]]></article-title>
<source><![CDATA[Emerging Infect Dis]]></source>
<year>2016</year>
<volume>22</volume>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rodriguez-Garcia]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Vidaurri-Leal]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ocular manifestations of systemic granulomatous diseases]]></article-title>
<source><![CDATA[Current Opinion Ophthalmol]]></source>
<year>1991</year>
<volume>2</volume>
<page-range>181-89</page-range></nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van den]]></surname>
<given-names><![CDATA[Wijngaard CC]]></given-names>
</name>
<name>
<surname><![CDATA[Hofhuis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Simões]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rood]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[van]]></surname>
<given-names><![CDATA[Pelt W]]></given-names>
</name>
<name>
<surname><![CDATA[Zeller]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Surveillance perspective on Lyme borreliosis across the European Union and european econonomic area]]></article-title>
<source><![CDATA[Eurosurveillance.com]]></source>
<year>2017</year>
<volume>22</volume>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="">
<collab>Centers for Disease Control and Prevention. Lyme disease data</collab>
<source><![CDATA[CDC]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mead]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiology of Lyme disease]]></article-title>
<source><![CDATA[Infect Dis Clin North America]]></source>
<year>2015</year>
<volume>29</volume>
<page-range>187-210</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dandashi]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Nizamutdinov]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Texas occurrence of Lyme disease and its neurological manifestations]]></article-title>
<source><![CDATA[J Neuroinfect Dis]]></source>
<year>2016</year>
<volume>7</volume>
<page-range>1-5</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Skinner-Taylor]]></surname>
<given-names><![CDATA[CM]]></given-names>
</name>
<name>
<surname><![CDATA[Flores-González]]></surname>
<given-names><![CDATA[MDS]]></given-names>
</name>
<name>
<surname><![CDATA[Valerio]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Antonio]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas-Meléndez]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Salinas-Palacios]]></surname>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evidencia de la enfermedad de Lyme en una población de alto riesgo del noreste de México]]></article-title>
<source><![CDATA[Medicina Universitaria]]></source>
<year>2007</year>
<volume>9</volume>
<page-range>105-11</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Karma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Seppälä]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Mikkilä]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Kaakkola]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Viljanen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Tarkkanen]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and clinical characteristics of ocular Lyme borreliosis]]></article-title>
<source><![CDATA[Am J Ophthalmol]]></source>
<year>2014</year>
<volume>119</volume>
<page-range>127-35</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mombaerts]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Maudgal]]></surname>
<given-names><![CDATA[PC]]></given-names>
</name>
<name>
<surname><![CDATA[Knockaert]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bilateral follicular conjunctivitis as a manifestation of Lyme disease]]></article-title>
<source><![CDATA[Am J Ophthalmol]]></source>
<year>1991</year>
<volume>112</volume>
<page-range>96-7</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Raja]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Starr]]></surname>
<given-names><![CDATA[MR]]></given-names>
</name>
<name>
<surname><![CDATA[Bakri]]></surname>
<given-names><![CDATA[SJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ocular manifestations of tick-borne diseases]]></article-title>
<source><![CDATA[Surv Ophthalmol]]></source>
<year>2016</year>
<volume>61</volume>
<page-range>726-44</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Flach]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Lavoie]]></surname>
<given-names><![CDATA[PE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Episcleritis, conjunctivitis, and keratitis as ocular manifestations of Lyme disease]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>1990</year>
<volume>97</volume>
<page-range>973-5</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Meyerhoff]]></surname>
<given-names><![CDATA[JO]]></given-names>
</name>
<name>
<surname><![CDATA[Steele]]></surname>
<given-names><![CDATA[RW]]></given-names>
</name>
<name>
<surname><![CDATA[Zaidman]]></surname>
<given-names><![CDATA[GW]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Lyme Disease]]></article-title>
<source><![CDATA[Update June 29, 2017. In emedicine.medscape.com/article/330178]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<collab>Centers for Disease Control and Prevention (CDC)</collab>
<article-title xml:lang=""><![CDATA[Recommendations for test performance and interpretation from the Second National Conference on Serologic Diagnosis of Lyme Disease]]></article-title>
<source><![CDATA[MMWR]]></source>
<year>1995</year>
<volume>44</volume>
<page-range>590-1</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laboratory diagnosis of Lyme disease:Advances and challenges]]></article-title>
<source><![CDATA[Infect Dis Clin North America]]></source>
<year>2015</year>
<volume>29</volume>
<page-range>295-307</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Branda]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Strle]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Nigrovic]]></surname>
<given-names><![CDATA[LE]]></given-names>
</name>
<name>
<surname><![CDATA[Lantos]]></surname>
<given-names><![CDATA[PM]]></given-names>
</name>
<name>
<surname><![CDATA[Lepore]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Damle]]></surname>
<given-names><![CDATA[NS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluation of modified 2-tiered serodiagnostic testing algorithms for early Lyme disease]]></article-title>
<source><![CDATA[Clin Infect Dis]]></source>
<year>2017</year>
<volume>64</volume>
<page-range>1074-80</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kazi]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[de Groot-Mijnes]]></surname>
<given-names><![CDATA[JDF]]></given-names>
</name>
<name>
<surname><![CDATA[Dam-van Loon]]></surname>
<given-names><![CDATA[ten NH]]></given-names>
</name>
<name>
<surname><![CDATA[Norel]]></surname>
<given-names><![CDATA[JO-V]]></given-names>
</name>
<name>
<surname><![CDATA[Oosterheert]]></surname>
<given-names><![CDATA[JJ]]></given-names>
</name>
<name>
<surname><![CDATA[de]]></surname>
<given-names><![CDATA[Boer JH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[No value for routine serologic screening for Borrelia burgdorferi in patients with uveitis in the Netherlands]]></article-title>
<source><![CDATA[Am J Ophthalmol]]></source>
<year>2016</year>
<volume>166</volume>
<page-range>189-93</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Marques]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laboratory diagnosis of Lyme disease - Advances and challenges]]></article-title>
<source><![CDATA[Infect Dis Clin North Am]]></source>
<year>2015</year>
<volume>29</volume>
<page-range>295-307</page-range></nlm-citation>
</ref>
<ref id="B32">
<label>32</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Mikkilä]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Karma]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Viljanen]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Seppälä]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The laboratory diagnosis of ocular Lyme borreliosis]]></article-title>
<source><![CDATA[Graefe's Arch Clin Exp Ophthalmol]]></source>
<year>1999</year>
<volume>237</volume>
<page-range>225-30</page-range></nlm-citation>
</ref>
<ref id="B33">
<label>33</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernard]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Kodjikian]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Abukhashabh]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Roure-Sobas]]></surname>
<given-names><![CDATA[Ch]]></given-names>
</name>
<name>
<surname><![CDATA[Boibieux]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Denis]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis of Lyme-associated uveitis:value of serological testing in a tertiary centre]]></article-title>
<source><![CDATA[Br J Ophthalmol Published Online First]]></source>
<year>2017</year>
</nlm-citation>
</ref>
<ref id="B34">
<label>34</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Qureshi]]></surname>
<given-names><![CDATA[IA]]></given-names>
</name>
<name>
<surname><![CDATA[Maldonado]]></surname>
<given-names><![CDATA[MF]]></given-names>
</name>
<name>
<surname><![CDATA[Rodriguez]]></surname>
<given-names><![CDATA[GJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz-Flores]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Maud]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Optic neuritis in acute neuroborreliosis (Lyme disease) in the U.S.-Mexican border:Case report]]></article-title>
<source><![CDATA[World J Neuroscience]]></source>
<year>2016</year>
<volume>6</volume>
<page-range>126-30</page-range></nlm-citation>
</ref>
<ref id="B35">
<label>35</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aberer]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Schwantzer]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Course of antibody response in Lyme borreliosis patients before and after therapy]]></article-title>
<source><![CDATA[ISRN Immunology]]></source>
<year>2012</year>
<volume>2012</volume>
</nlm-citation>
</ref>
<ref id="B36">
<label>36</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lesser]]></surname>
<given-names><![CDATA[RL]]></given-names>
</name>
<name>
<surname><![CDATA[Kornmehl]]></surname>
<given-names><![CDATA[EW]]></given-names>
</name>
<name>
<surname><![CDATA[Pachner]]></surname>
<given-names><![CDATA[AR]]></given-names>
</name>
<name>
<surname><![CDATA[Kattah]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Hedges]]></surname>
<given-names><![CDATA[TR]]></given-names>
</name>
<name>
<surname><![CDATA[Newman]]></surname>
<given-names><![CDATA[NM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neuro-ophthalmologic manifestations of Lyme disease]]></article-title>
<source><![CDATA[Ophthalmology]]></source>
<year>1990</year>
<volume>97</volume>
<page-range>699-706</page-range></nlm-citation>
</ref>
<ref id="B37">
<label>37</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dersch]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Hottenrott]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Schmidt]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Sommer]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Huppertz]]></surname>
<given-names><![CDATA[HI]]></given-names>
</name>
<name>
<surname><![CDATA[Rauer]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efficacy and safety of pharmacological treatments for Lyme neuroborreliosis in children:a systematic review]]></article-title>
<source><![CDATA[BMC Neurology]]></source>
<year>2016</year>
<volume>16</volume>
<page-range>189</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
