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莱姆病:欧洲诊断和管理的临床病例定义。

Lyme borreliosis: clinical case definitions for diagnosis and management in Europe.

机构信息

Medical University of Vienna, Department of Hygiene and Applied Immunology, Vienna, Austria.

出版信息

Clin Microbiol Infect. 2011 Jan;17(1):69-79. doi: 10.1111/j.1469-0691.2010.03175.x.

DOI:10.1111/j.1469-0691.2010.03175.x
PMID:20132258
Abstract

Lyme borreliosis, caused by spirochaetes of the Borrelia burgdorferi genospecies complex, is the most commonly reported tick-borne infection in Europe and North America. The non-specific nature of many of its clinical manifestations presents a diagnostic challenge and concise case definitions are essential for its satisfactory management. Lyme borreliosis is very similar in Europe and North America but the greater variety of genospecies in Europe leads to some important differences in clinical presentation. These new case definitions for European Lyme borreliosis emphasise recognition of clinical manifestations supported by relevant laboratory criteria and may be used in a clinical setting and also for epidemiological investigations.

摘要

莱姆病,由伯氏疏螺旋体种复合体的螺旋体引起,是欧洲和北美的最常见的蜱传感染。其许多临床表现具有非特异性,这对诊断提出了挑战,因此简明的病例定义对于其满意的管理至关重要。莱姆病在欧洲和北美的表现非常相似,但欧洲的种属更为多样,导致临床表现存在一些重要差异。这些新的欧洲莱姆病病例定义强调对相关实验室标准支持的临床表现的识别,并可在临床环境中使用,也可用于流行病学调查。

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