Herzer P, Fingerle V, Pfister H-W, Krause A
Internistisch-rheumatologische Schwerpunktpraxis, Tal 6, 80331, München, Deutschland,
Internist (Berl). 2014 Jul;55(7):789-802; quiz 803-4. doi: 10.1007/s00108-013-3412-7.
Lyme borreliosis is a multisystem infectious disease affecting mainly the skin, nervous system, joints and heart. It is caused by spirochetes of the Borrelia burgdorferi sensu lato complex which are transmitted by ticks. The diagnosis of Lyme borreliosis is based primarily on typical clinical symptoms and signs with serological confirmation. Antibiotic therapy is beneficial for all manifestations and treatment refractory cases are rare. The diagnosis "chronic Lyme borreliosis" is increasingly being misused for all conceivable medically unexplained symptoms.
莱姆病是一种多系统感染性疾病,主要影响皮肤、神经系统、关节和心脏。它由伯氏疏螺旋体狭义复合体的螺旋体引起,通过蜱虫传播。莱姆病的诊断主要基于典型的临床症状和体征,并经血清学证实。抗生素治疗对所有表现形式均有益,治疗难治性病例很少见。“慢性莱姆病”这一诊断正越来越多地被滥用于所有可以想象到的医学上无法解释的症状。