Hatanaka K, Miyagishima T, Kamata T, Nakagawa M, Miura Y, Arai S, Kishimoto A, Kamishima Y, Shibata M, Choi G H, Kudo M, Okabe M, Tsukamoto T, Miyamoto K
Department of International Medicine, Kushiro Rousai Hospital.
Rinsho Ketsueki. 2000 Dec;41(12):1273-6.
A 68-year-old man, who had suffered a tick bite one week previously, consulted his home doctor because of fever and an erythematous rash around the bite scar. He underwent a skin biopsy, and Borrelia garinii was detected, from which Lyme disease was diagnosed. He received amoxicillin for two weeks and his symptoms disappeared. After 6 months he noticed swelling of his cervical, axillary and inguinal lymph nodes. A biopsy sample was taken from a left cervical lymph node, and this revealed angioimmunoblastic T-cell lymphoma. The patient achieved a complete remission after chemotherapy. The relationship between Lyme disease and lymphoma is discussed.
一名68岁男性，一周前被蜱虫叮咬，因发热及叮咬疤痕周围出现红斑皮疹而咨询家庭医生。他接受了皮肤活检，检测出加氏疏螺旋体，由此诊断为莱姆病。他接受了两周阿莫西林治疗，症状消失。6个月后，他注意到颈部、腋窝和腹股沟淋巴结肿大。从左侧颈部淋巴结取了活检样本，结果显示为血管免疫母细胞性T细胞淋巴瘤。该患者化疗后达到完全缓解。文中讨论了莱姆病与淋巴瘤之间的关系。
