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[中枢神经系统感染——蜱传脑炎、神经莱姆病,还是两者皆有?]

[Central nervous system infection--tick-borne encephalitis, neuroborreliosis or both?].

作者信息

Varis Antti, Oksi Jarmo, Järveläinen Hannu

机构信息

TYKS:n sisätautien klinikka, Turku.

出版信息

Duodecim. 2011;127(1):75-9.

PMID:21442877
Abstract

Certain tick species are able to transmit both tick-borne encephalitis (TBE) and Lyme borreliosis. Therefore, it is possible that a patient can simultaneously be infected with the TBE-virus and Borrelia burgdorferi-spirochete as a result of a single tick bite. Although this is a rare event, its possibility has to be taken into account e.g. in the diagnostics of febrile patients who suffer from symptoms typical of meningoencephalitis and who live or come from endemic tick regions. This is because the treatments of these two infectious diseases differ from each other--there is a specific treatment only for Lyme borreliosis. We describe two Finnish patients with double infection with TBE and neuroborreliosis.

摘要

某些蜱虫种类能够传播蜱传脑炎(TBE)和莱姆病。因此,患者有可能因单次蜱虫叮咬而同时感染TBE病毒和伯氏疏螺旋体。尽管这种情况很少见,但在诊断患有脑膜脑炎典型症状且生活在或来自蜱虫流行地区的发热患者时,必须考虑到这种可能性。这是因为这两种传染病的治疗方法不同——只有莱姆病有特定的治疗方法。我们描述了两名同时感染TBE和神经型莱姆病的芬兰患者。

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Duodecim. 2011;127(1):75-9.
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