Departments of Pediatrics and Family Medicine, Connecticut Children's Medical Center, Farmington, CT 06030, USA.
Clin Infect Dis. 2011 Nov;53(10):e142-6. doi: 10.1093/cid/cir553. Epub 2011 Sep 21.
The most common clinical manifestation of Lyme disease is the characteristic rash, erythema migrans (EM). In the 1980s EM-like eruptions were reported in Missouri and other southeastern states. The EM-like eruptions, which were of unknown etiology, often followed the bite of the Lone Star tick (Amblyomma americanum) and the rash is called STARI (southern tick-associated rash illness). Although the Lone Star tick is found in the Lyme disease-endemic areas of New England and Mid-Atlantic regions of the United States, STARI has been reported only once from the Northeast and Mid-Atlantic regions. We report a child from Connecticut who visited Long Island, New York, and developed a rash that was thought to be EM. Because the patient failed to respond to antibiotics used to treat Lyme disease, an investigation ensued, and the diagnosis of STARI was established.
莱姆病最常见的临床表现是特征性皮疹，游走性红斑 (EM)。20 世纪 80 年代，密苏里州和其他东南部州报告了类似 EM 的皮疹。这些病因不明的类似 EM 的皮疹通常在被孤星蜱（孤星蜱）叮咬后出现，皮疹被称为 STARI（南方蜱相关皮疹病）。虽然孤星蜱在美国新英格兰地区和大西洋中部地区的莱姆病流行地区都有发现，但仅在东北部和大西洋中部地区报告过一次 STARI。我们报告了一名来自康涅狄格州的儿童，他前往纽约长岛，出现了被认为是 EM 的皮疹。由于患者对用于治疗莱姆病的抗生素没有反应，因此进行了调查，最终确立了 STARI 的诊断。
