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孕妇并发人粒细胞埃立克体病与莱姆病——病例研究

[Human granulocytic ehrlichiosis co-incident with Lyme borreliosis in pregnant woman--a case study].

作者信息

Brzostek Teresa

机构信息

Oddział Obserwacyjno-Zakaźny Zespolu Opieki Zdrowotnej w Debicy.

出版信息

Przegl Epidemiol. 2004;58(2):289-94.

Abstract

A case of 25 years old woman, living in an endemic area for Lyme borreliosis was examined. In 29 th week of pregnancy thrombocytopenia, fever and fatigue were observed, in the last 7 weeks erythema migrans was present. The woman was not treated by that time. The infant presented thrombocytopenia in the first few weeks of life. 3 months after delivery erythema migrans disseminata was observed, by that time Lyme borreliosis and HGE were serologically confirmed. It was not confirmed that the infection was transferred to the infant, but it is possible that thrombocytopenia was caused by the infection with A. phagocytophila.

摘要

对一名居住在莱姆病流行地区的25岁女性病例进行了检查。在怀孕第29周时,观察到血小板减少、发热和疲劳,在最后7周出现了游走性红斑。当时该女性未接受治疗。婴儿在出生后的头几周出现血小板减少。分娩后3个月观察到播散性游走性红斑,此时莱姆病和人粒细胞埃立克体病经血清学确诊。虽然未证实感染已传染给婴儿,但血小板减少可能是由嗜吞噬细胞无形体感染所致。

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