Fallon B A, Nields J A, Burrascano J J, Liegner K, DelBene D, Liebowitz M R
Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York.
Psychiatr Q. 1992 Spring;63(1):95-117. doi: 10.1007/BF01064684.
Lyme borreliosis (Lyme disease), a tick-borne spirochetal illness, has multisystemic involvement and is rapidly increasing in certain areas of the United States. Although its neurologic manifestations are becoming increasingly well recognized, its psychiatric presentations are not well known. The first section of this paper will provide an overview of Lyme borreliosis and a review of the relevant neuropsychiatric literature. The second section will provide clinical descriptions of some common neuropsychiatric symptoms as well as a discussion of the problems typically faced by patients with this illness. Guidelines to assist the clinician in working with these patients will be presented.
莱姆病，一种蜱传播的螺旋体病，可累及多系统，在美国某些地区其发病率正在迅速上升。尽管其神经学表现越来越受到认可，但其精神科表现却鲜为人知。本文第一部分将概述莱姆病，并综述相关神经精神医学文献。第二部分将提供一些常见神经精神症状的临床描述，以及对该病患者通常所面临问题的讨论。还将介绍协助临床医生诊治这些患者的指南。
