Werner Sandra Lee, Banda Bhanu Kirthi, Burnsides Christopher Lee, Stuber Alexander James
MetroHealth/Cleveland Clinic/CWRU Emergency Medicine Residency Program, Department of Emergency Medicine, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109 USA.
Curr Emerg Hosp Med Rep. 2019;7(3):91-106. doi: 10.1007/s40138-019-00189-y. Epub 2019 Aug 13.
This review describes mosquito- and tick-borne diseases found in the Western Hemisphere. It focuses on emerging diseases and recent geographic shifts in the presence of disease vectors.
Mosquito and tick vectors have become more widespread as environmental conditions have become more favorable. Zika recently has emerged as a concern for fetal anomalies. West Nile Virus has become widespread. Lyme disease and other tick-borne diseases are more prevalent in areas previously inhospitable to these ticks.
Healthcare providers must consider the possibility of mosquito- and tick-borne diseases in broader geographic areas and council patients traveling to endemic areas on precautions against these diseases. Treatment for suspected cases of serious tick-borne illnesses should not be delayed pending culture results.
本综述描述了在西半球发现的蚊媒和蜱媒疾病。重点关注新兴疾病以及疾病传播媒介出现的近期地理变化。
随着环境条件变得更加适宜,蚊媒和蜱媒传播范围更广。寨卡病毒最近成为胎儿异常的一个担忧因素。西尼罗河病毒已广泛传播。莱姆病和其他蜱媒疾病在以前不适宜这些蜱生存的地区更为普遍。
医疗保健提供者必须在更广泛的地理区域考虑蚊媒和蜱媒疾病的可能性,并就前往流行地区的患者预防这些疾病提供建议。对于疑似严重蜱媒疾病的病例,不应等待培养结果而延迟治疗。