Fiore Vittorio, Rakusa Julia, Fehr Thomas, Wick Jürg
Innere Medizin, Kantonsspital Graubünden, Chur.
Praxis (Bern 1994). 2021 Apr;110(6):299-300. doi: 10.1024/1661-8157/a003666.
Lyme disease is the most common vector-borne illness in Switzerland and Lyme arthritis the most prevalent manifestation of late-stage Lyme disease. It presents as a monoarthitis or oligoarthritis in large joints, often involving the knee. Such a clinical presentation, together with positive Lyme serologies or polymerase chain reactions from synovial fluid/tissue, is considered diagnostic. If there is no tick bite or erythema migrans in the patient's history the diagnosis can be challenging due to the many differential diagnoses. The initial treatment is a prolonged course of oral antibiotics.
莱姆病是瑞士最常见的媒介传播疾病，莱姆关节炎是晚期莱姆病最常见的表现形式。它表现为大关节的单关节炎或寡关节炎，常累及膝关节。这种临床表现，再加上莱姆血清学检查呈阳性或滑膜液/组织的聚合酶链反应呈阳性，被认为具有诊断意义。如果患者病史中没有蜱虫叮咬或游走性红斑，由于鉴别诊断众多，诊断可能具有挑战性。初始治疗是长期口服抗生素疗程。
