Herzer P, Wilske B
Zentralbl Bakteriol Mikrobiol Hyg A. 1986 Dec;263(1-2):268-74. doi: 10.1016/s0176-6724(86)80131-6.
Lyme arthritis appears not to be a rare manifestation of Borrelia burgdorferi infection in Germany. We report 20 cases of the illness occurring in South Germany. In eleven of our patients arthritis was the only clinical manifestation of the infection; the diagnosis in those cases has only been verified by the detection of specific antibodies to Borrelia burgdorferi with indirect immunofluorescence and IgG Western blot technique. In comparison with previous reports of Lyme arthritis the quota of chronic joint involvement in our patients was relatively high, 4 of the patients developed radiographic signs of erosive arthritis. We suggest that Lyme arthritis is still underrecognized in Germany, and that previously reported assertions concerning the relative frequency of the various disease manifestations of Borrelia burgdorferi infections reflect a patient-selection.
在德国，莱姆关节炎似乎并非伯氏疏螺旋体感染的罕见表现。我们报告了20例发生在德国南部的该病病例。在我们的11例患者中，关节炎是感染的唯一临床表现；这些病例的诊断仅通过间接免疫荧光和IgG免疫印迹技术检测针对伯氏疏螺旋体的特异性抗体得以证实。与先前关于莱姆关节炎的报告相比，我们患者中慢性关节受累的比例相对较高，4例患者出现了侵蚀性关节炎的影像学表现。我们认为，在德国莱姆关节炎仍未得到充分认识，并且先前报道的关于伯氏疏螺旋体感染各种疾病表现相对频率的论断反映了患者选择的因素。
