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少数被诊断患有莱姆病的儿童记得之前被蜱虫叮咬过。

A minority of children diagnosed with Lyme disease recall a preceding tick bite.

机构信息

Division of Emergency Medicine, Boston Children's Hospital, Boston, MA, United States.

Division of Emergency Medicine, Children's Hospital of Pittsburgh, Pittsburgh, PA, United States.

出版信息

Ticks Tick Borne Dis. 2019 Apr;10(3):694-696. doi: 10.1016/j.ttbdis.2019.02.015. Epub 2019 Feb 26.

DOI:10.1016/j.ttbdis.2019.02.015
PMID:30853264
Abstract

Of 1770 children undergoing emergency department evaluation for Lyme disease, 362 (20.5%) children had Lyme disease. Of those with an available tick bite history, only a minority of those with Lyme disease had a recognized tick bite (60/325; 18.5%, 95% confidence interval 14.6-23.0%). Lack of a tick bite history does not reliably exclude Lyme disease.

摘要

在 1770 名因莱姆病接受急诊科评估的儿童中，362 名（20.5%）儿童患有莱姆病。在那些有可用蜱虫叮咬史的儿童中，只有少数患有莱姆病的儿童有被确认为蜱虫叮咬（60/325；18.5%，95%置信区间 14.6-23.0%）。没有蜱虫叮咬史并不能可靠地排除莱姆病。

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