Antony Suresh
Texas Tech University Health Sciences Center, Department of Infectious Diseases, and Center for Infectious Diseases and Travel Medicine, El Paso, Texas, United States.
Infect Disord Drug Targets. 2019;19(3):238-257. doi: 10.2174/1871526518666180626123340.
In the United States, tick-borne illnesses account for a significant number of patients that have been seen and treated by health care facilities. This in turn, has resulted in a significant morbidity and mortality and economic costs to the country.
The distribution of these illnesses is geographically variable and is related to the climate as well. Many of these illnesses can be diagnosed and treated successfully, if recognized and started on appropriate antimicrobial therapy early in the disease process. Patient with illnesses such as Lyme disease, Wet Nile illness can result in chronic debilitating diseases if not recognized early and treated.
This paper covers illnesses such as Lyme disease, West Nile illness, Rocky Mountain Spotted fever, Ehrlichia, Tularemia, typhus, mosquito borne illnesses such as enteroviruses, arboviruses as well as arthropod and rodent borne virus infections as well. It covers the epidemiology, clinical features and diagnostic tools needed to make the diagnosis and treat these patients as well.
在美国，蜱传播疾病导致大量患者前往医疗机构就诊和接受治疗。这进而给该国带来了显著的发病率、死亡率和经济成本。
这些疾病的分布在地理上存在差异，并且也与气候有关。如果在疾病过程早期得到识别并开始适当的抗菌治疗，许多此类疾病能够成功诊断和治疗。诸如莱姆病、西尼罗河病等疾病的患者若不及早识别和治疗，可能会导致慢性衰弱性疾病。
本文涵盖了莱姆病、西尼罗河病、落基山斑疹热、埃立克体病、兔热病、斑疹伤寒等疾病，以及蚊媒疾病如肠道病毒、虫媒病毒，还有节肢动物和啮齿动物传播的病毒感染。它还涵盖了这些疾病的流行病学、临床特征以及诊断和治疗这些患者所需的诊断工具。
