Giraudet J S, Awada H, Amor B, Menkès C J
Service de Rhumatologie A., Hôpital Cochin, Paris.
Ann Med Interne (Paris). 1988;139(7):460-3.
The characteristics of 15 patients with Lyme disease have been retrospectively reviewed; 12 patients had lymphocytic meningitis with mono or polyradiculitis including facial neuritis; 5 patients had mono or oligo-arthritis; 4 patients had inflammatory enthesopathy-like complaints which were the only expression of the disease in 2 of them. All the patients received antibiotic treatment. A dramatic clinical improvement was noted in all patients within four days. A rapid response to treatment seems to be a useful diagnostic criteria which could be added to the recognized ones, i.e., clinical manifestations or significant rise of antibody titres.
对15例莱姆病患者的特征进行了回顾性分析;12例患者患有淋巴细胞性脑膜炎伴单发性或多发性神经根炎,包括面神经麻痹;5例患者患有单发性或寡发性关节炎;4例患者有炎症性肌腱病样主诉,其中2例患者以此为该病的唯一表现。所有患者均接受了抗生素治疗。所有患者在四天内临床症状均显著改善。对治疗的快速反应似乎是一项有用的诊断标准,可添加到已认可的标准中,即临床表现或抗体滴度显著升高。