论文部分内容阅读
莱姆病是近年才被认识的一种传染病,由伯氏疏螺旋体(Borrelia burgdorferi)所引起,通过几种硬蜱叮咬而传播。临床上以皮肤损害——慢性游走性红斑(Erythema chronicum migrans,ECM)开始,并伴有全身症状为其特点。经数周至数月后,一些病人可能出现神经和(或)心脏异常,数月或数年后,可发生关节炎。早期应用抗生素和其他化学药物治疗可治愈或减轻晚期症状。本病最初是出Steere于1975年在美国康涅狄格州的莱姆镇附近发现,呈聚集性的儿童关节炎,称为莱姆关节炎。随后进一步追踪观察,发现临床表现还包括皮肤损害、神经和心脏异常,命名为莱姆病。目前,本病广泛分布于欧洲、美洲、亚洲,非洲和大洋洲,有病例报告的国家已有22个,美国32个州有病例分布。
Lyme disease is an infectious disease known only recently, caused by Borrelia burgdorferi and spread through several tick ticks. Clinically, the skin damage - chronic migratory erythema (Erythema chronicum migrans, ECM), and with systemic symptoms as its characteristics. After a few weeks to months, some patients may experience abnormalities in the nerves and / or heart and may develop arthritis after months or years. Early use of antibiotics and other chemical drugs can cure or reduce late symptoms. The disease was first reported by Steere in 1975 in the United States near Lyme, Connecticut, was found in the collection of children with arthritis, called Lyme arthritis. Followed by further follow-up and found that clinical manifestations also include skin damage, nerve and cardiac abnormalities, named Lyme disease. Currently, the disease is widely distributed in Europe, the Americas, Asia, Africa and Oceania. There are 22 countries with case reports and 32 cases in the United States.