Schutzer S E, Janniger C K, Schwartz R A
Department of Allergy and Immunology, New Jersey Medical School, Newark 07103-2714.
Cutis. 1991 Apr;47(4):267-8.
Lyme disease, caused by infection with Borrelia burgdorferi, can affect those exposed to a vector tick. Pregnant women are no exception, and such infection places the fetus at risk. It is particularly important to recognize the disease early so that effective therapy may be instituted. Although the present patient had a favorable outcome, not all do. Clinical diagnosis is especially important since conventional laboratory tests may be inadequate or require lengthy periods of time before a positive result occurs. The dermatologic sign of Lyme disease, erythema migrans, although occurring in only 50 percent of cases, is likely to be the most important diagnostic sign.
莱姆病由伯氏疏螺旋体感染引起，可影响接触传播媒介蜱虫的人群。孕妇也不例外，这种感染会使胎儿面临风险。尽早识别该病尤为重要，以便能够开展有效的治疗。尽管本例患者预后良好，但并非所有患者都如此。临床诊断尤为重要，因为传统实验室检查可能不充分，或者在出现阳性结果之前需要很长时间。莱姆病的皮肤表现——游走性红斑，虽然仅见于50%的病例，但可能是最重要的诊断体征。
