[儿童莱姆病]

Oddzial Dzieciecy ZOZ Debica.

Przegl Lek. 2006;63 Suppl 7:88-90.

Lyme disease is a vector-borne infectious disease affecting especially skin, nervous system, heart and joints. In the early stage of borrelia infection, asymptomatic course is possible. The causative agent, the spirochete Borrelia, is carried to the human body by tick. The bacteriological culture from blood, joint fluid or cerebrospinal fluid is very difficult. The laboratory diagnosis depends mainly on serological assays (ELISA, Western blot) and on the polymerase chain reaction (PCR). The treatment is based on antibiotic therapy - penicillin's and cephalosporins. The period of therapy depends on clinical form of borreliosis. Early tick removing is the best borreliosis prophylaxis.

莱姆病是一种由媒介传播的传染病，尤其会影响皮肤、神经系统、心脏和关节。在疏螺旋体感染的早期阶段，可能会有无症状病程。病原体——螺旋体伯氏疏螺旋体，通过蜱传播到人体。从血液、关节液或脑脊液中进行细菌培养非常困难。实验室诊断主要依靠血清学检测（酶联免疫吸附测定、蛋白质印迹法）和聚合酶链反应（PCR）。治疗基于抗生素疗法——青霉素类和头孢菌素类。治疗周期取决于莱姆病的临床类型。尽早去除蜱是预防莱姆病的最佳方法。