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[儿童莱姆病螺旋体感染的特殊特征]

[Specific features of Borrelia burgdorferi infection in children].

作者信息

Andrzejewski Arkadiusz, Woźniakowska-Gésicka Teresa, Wiśniewska-Ligier Małgorzata

机构信息

III Klinika Pediatrii, Instytut "Centrum Zdrowia Matki Polki" w Lodzi.

出版信息

Przegl Epidemiol. 2006;60 Suppl 1:16-22.

PMID:16909770
Abstract

Clinical picture of Borrelia burgdorferi infection has been presented in 89 children from Lodz region. The analysis showed significant domination of cases with non specific symptoms (41.6%) as: fever or headache and cases with affected central and peripheral nervous system (30.3%). Peripheral cranial nerves paralysis and symptoms of cerebrospinal meningitis dominated among children with neuroborreliosis. Unlike descriptions concerning adults, majority of the observed symptoms were changes characteristic for I stage of the disease. Dermatosis was found only in (19%) child and symptoms of arthritis in (9%) of them. Contact with tick was stated in 56.8% of the analysed children. Incidence of the disease occurred throughout the whole year, more frequently in summer and autumn months.

摘要

罗兹地区89名儿童呈现出伯氏疏螺旋体感染的临床症状。分析显示,非特异性症状(41.6%),如发热或头痛,以及中枢和周围神经系统受累的病例(30.3%)占主导。在神经型莱姆病患儿中,周围性颅神经麻痹和脑脊液脑膜炎症状占主导。与关于成人的描述不同,观察到的大多数症状是疾病I期的特征性变化。仅19%的儿童出现皮肤病,9%的儿童出现关节炎症状。56.8%的分析对象表示有蜱虫接触史。该病全年均有发生,在夏季和秋季更为常见。

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