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莱姆病是由蜱传播伯氏疏螺旋体引起的自然疫源性疾病,根据其发展经过一般分三期,第二期(播散感染期)常在病后2～4周出现,此期可出现神经及心血管系统的损伤,颅神经损伤及脑炎等表现,以下2例病例,在发病后3～4d内迅速出现颅神经损伤改变及神志恍惚,大,小便失禁等症状,甚至以颅神经损伤及神经、精神症状为首发症状,应在临床诊治中,注意上述情况的发生,以免贻误治疗。
Lyme disease is a natural foci disease caused by tick-borne Borrelia burgdorferi and is usually divided into three stages according to its development. The second stage (disseminated infection stage) often occurs 2 to 4 weeks after the onset of disease, There are nerve and cardiovascular system injury, cranial nerve injury and encephalitis and other performance, the following 2 cases, 3 ~ 4d after onset of rapid changes in cranial nerve injury and trance, large, incontinence and other symptoms, and even cranial Nerve injury and neurological and psychiatric symptoms as the first symptom, should be in the clinical diagnosis and treatment, pay attention to the occurrence of the above, so as not to delay the treatment.