Zaidi Syed Ali, Singer Carol
Division of Infectious Diseases, Long Island Jewish Medical Center, Long Island Campus for the Albert Einstein College of Medicine, New Hyde Park, NY, 11040, USA.
Clin Infect Dis. 2002 May 1;34(9):1206-12. doi: 10.1086/339871. Epub 2002 Apr 2.
Signs and symptoms related to the gastrointestinal tract and liver may provide important clues for the diagnosis of various tickborne diseases prevalent in different geographic areas of the United States. We review clinical and laboratory features that may be helpful in detecting a tickborne infection. Physicians evaluating patients who live in or travel to areas where tickborne diseases are endemic and who present with an acute febrile illness and gastrointestinal manifestations should maintain a high index of suspicion for one of these disease entities, particularly if the patient has received a tick bite. If detected early, many of these potentially serious illnesses can be easily and effectively treated, thereby avoiding serious morbidity and even death.
与胃肠道和肝脏相关的体征和症状可能为诊断美国不同地理区域流行的各种蜱传疾病提供重要线索。我们回顾了可能有助于检测蜱传感染的临床和实验室特征。对于评估居住在或前往蜱传疾病流行地区且出现急性发热性疾病和胃肠道表现的患者的医生来说，应高度怀疑这些疾病实体之一，特别是如果患者曾被蜱叮咬。如果早期发现，许多这些潜在的严重疾病可以轻松有效地治疗，从而避免严重的发病甚至死亡。
