Błazejewicz-Zawadzińiska Małgorzata, Brochocka Aleksandra, Lisińska Justyna, Borowiecki Maciej
Katedra Zoologii, Uniwersytet Technologiczno-Przyrodniczy w Bydgoszczy.
Przegl Epidemiol. 2012;66(4):581-6.
PREAMBLE: Lyme borreliosis is described in the United States as a distinct disease entity 37 years ago. Due to a highly diverse clinical picture of the disease, arouses a great interest of specialists from many fields of medicine. The research results obtained so far suggest that the disease is becoming a significant health problem due to an increasing number of illness and catching ticks infected with Borrelia burgdorferi. No possibility of a kind of vaccination to prevent the problem of Lyme disease is extremely important for society and worthy of monitoring.
To present the incidence of borreliosis of Lyme together with a detailed analysis of symptoms which occurred in patients registered in patients in individual districts of Kuyavian-Pomeranian voivodship in 2000-2005.
The epidemiological documentation of cases of Lyme borreliosis reported in nineteen regional Sanitary and Epidemiological Stations ofKuyavian-Pomeranian voivodship in 2000-2005 was subjected to the detailed analysis.
In the studied area, a constant increase in the incidence of Lyme borreliosis is observed. The most cases (45%) of this disease were recorded in the district of Bydgoszcz. Erythema migrans was observed in 84.8% of patients. Of other signs attributed to borreliosis, symptoms from the osteoarticular system, and the circulatory system, as well as neurological ones have been reported. Apart from that, also non-characteristic general symptoms were observed in the course of disease, the most frequent of them being fever or subfebrile body temperatures, peripheral lymphadenopathy, influenza-like symptoms, and many others.
No case of contact with a tick and no alarming symptoms which may indicate infection with spirochete Borrelia burgdorferi should be ignored. To determine the exposure to bites of ticks-vectors of Lyme borreliosis is of the utmost importance, since the characteristic erythema does not occur in all the patients, and early borreliosis may transform imperceptibly into the next stage of the disease.
前言：37年前，莱姆病在美国被描述为一种独特的疾病实体。由于该病临床表现高度多样，引起了许多医学领域专家的极大兴趣。迄今为止获得的研究结果表明，由于患病数量不断增加以及感染伯氏疏螺旋体的蜱虫叮咬，该病正成为一个重大的健康问题。目前尚无预防莱姆病问题的疫苗，这对社会极为重要且值得监测。
呈现2000 - 2005年库亚维-滨海省各地区登记患者中莱姆病的发病率，并对其出现的症状进行详细分析。
对2000 - 2005年库亚维-滨海省19个地区卫生与流行病学站报告的莱姆病病例的流行病学资料进行详细分析。
在研究区域，观察到莱姆病发病率持续上升。该病大多数病例（45%）记录在比得哥什地区。84.8%的患者出现游走性红斑。在归因于莱姆病的其他体征中，报告了骨关节系统、循环系统以及神经系统的症状。除此之外，在疾病过程中还观察到非特异性的一般症状，其中最常见的是发热或低热体温、外周淋巴结病、流感样症状等。
任何与蜱虫接触的情况以及任何可能表明感染伯氏疏螺旋体的警示症状都不应被忽视。确定接触莱姆病蜱虫传播媒介的情况至关重要,因为并非所有患者都会出现特征性红斑，而且早期莱姆病可能不知不觉地转变为疾病的下一阶段。
