由美洲钝眼蜱（孤星蜱）引起的疾病谱正在扩大。
The expanding spectrum of disease caused by the Lone Star Tick, Amblyomma americanum.
作者信息
Higuita Nelson Iván Agudelo, Franco-Paredes Carlos, Henao-Martínez Andrés F
机构信息
Department of Medicine, Section of Infectious Diseases, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA.
Department of Medicine, Division of Infectious Diseases, University of Colorado Denver School of Medicine, Denver, Colorado, USA.
出版信息
Infez Med. 2021 Sep 10;29(3):378-385. doi: 10.53854/liim-2903-8. eCollection 2021.
Ticks are remarkable vectors of a diverse and growing list of infectious agents of importance to both medical and veterinary disciplines. The tick is one of the most frequently identified ticks in the United States with an expanding spectrum of human disease given its vast geographic range. The recently described Bourbon and Heartland viruses are likely transmitted by the Lone Star tick and are just two of the several novel tick-borne pathogens discovered in recent decades. The review will focus on these two viruses that can cause illness with similar characteristics to other diseases transmitted by the Lone Star tick. Healthcare professionals should consider these viruses in patients presenting with an ailment suggestive of a tick-born rickettsial disease that fails to improve with treatment with doxycycline. Additionally, some individuals may develop life-threatening allergic reactions triggered by the bite of the Lone Star tick.
蜱虫是多种对医学和兽医学都很重要且种类不断增加的传染病原体的重要传播媒介。在美国，这种蜱虫是最常被发现的蜱虫之一，鉴于其广泛的地理分布范围，它所传播的人类疾病范围也在不断扩大。最近描述的波旁病毒和心脏地带病毒很可能由孤星蜱传播，它们只是近几十年来发现的几种新型蜱传病原体中的两种。本综述将聚焦于这两种病毒，它们可引发与孤星蜱传播的其他疾病具有相似特征的病症。医疗保健专业人员对于那些患有疑似蜱传立克次体病但用强力霉素治疗后未见好转的患者，应考虑这些病毒。此外，一些人可能会因孤星蜱的叮咬引发危及生命的过敏反应。
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