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儿童莱姆病的诊断与治疗

Diagnosis and treatment of Lyme disease in children.

作者信息

Bahadori Atessa, Ritz Nicole, Zimmermann Petra

机构信息

Pediatric Specialties Division, Department of Pediatrics, Gynecology, and Obstetrics, University Hospitals Geneva, Geneva, Switzerland.

Mycobacterial and Migrant Health Research, University Children's Hospital Basel and Department for Clinical Research, University of Basel, Basel, Switzerland.

出版信息

Arch Dis Child Educ Pract Ed. 2023 Dec;108(6):422-428. doi: 10.1136/archdischild-2023-325398. Epub 2023 Sep 19.

DOI:10.1136/archdischild-2023-325398
PMID:37726149
Abstract

Lyme disease is a zoonotic infection caused by the spirochete sensu lato which is transmitted to humans mainly by tick bites. The global incidence of Lyme disease is rising, and children are more frequently affected. The disease can manifest in various organs causing non-specific symptoms. The lack of sensitive and specific diagnostic tests makes the management of Lyme disease challenging. This article offers up-to-date clinical algorithms for the management of children with suspected or diagnosed Lyme disease.

摘要

莱姆病是一种由广义疏螺旋体引起的人畜共患感染性疾病,主要通过蜱虫叮咬传播给人类。全球莱姆病的发病率正在上升,儿童受影响的频率更高。该疾病可在各个器官表现出来,引起非特异性症状。缺乏敏感且特异的诊断测试使得莱姆病的管理具有挑战性。本文提供了针对疑似或确诊莱姆病儿童管理的最新临床算法。

相似文献

1
Diagnosis and treatment of Lyme disease in children.儿童莱姆病的诊断与治疗
Arch Dis Child Educ Pract Ed. 2023 Dec;108(6):422-428. doi: 10.1136/archdischild-2023-325398. Epub 2023 Sep 19.
2
Borrelia burgdorferi infection and Lyme disease in children.儿童伯氏疏螺旋体感染与莱姆病。
Int J Infect Dis. 2013 Mar;17(3):e153-8. doi: 10.1016/j.ijid.2012.09.014. Epub 2012 Nov 6.
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Identification of a novel pathogenic Borrelia species causing Lyme borreliosis with unusually high spirochaetaemia: a descriptive study.鉴定一种导致莱姆病且螺旋体血症异常高的新型致病性疏螺旋体物种:一项描述性研究。
Lancet Infect Dis. 2016 May;16(5):556-564. doi: 10.1016/S1473-3099(15)00464-8. Epub 2016 Feb 6.
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Dermatological manifestations of Lyme borreliosis.莱姆病的皮肤表现
Eur J Dermatol. 2004 Sep-Oct;14(5):296-309.
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Single Core Genome Sequencing for Detection of both Sensu Lato and Relapsing Fever Borrelia Species.单细胞基因组测序检测长角血蜱和回归热螺旋体种属。
Int J Environ Res Public Health. 2019 May 20;16(10):1779. doi: 10.3390/ijerph16101779.
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Lyme Disease.莱姆病。
Nurs Clin North Am. 2019 Jun;54(2):261-275. doi: 10.1016/j.cnur.2019.02.003. Epub 2019 Mar 26.
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Current and future treatment of Lyme disease.莱姆病的当前及未来治疗方法。
Expert Opin Pharmacother. 2001 Feb;2(2):241-51. doi: 10.1517/14656566.2.2.241.
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Lyme borreliosis.莱姆病
An Bras Dermatol. 2010 Nov-Dec;85(6):930-8. doi: 10.1590/s0365-05962010000600029.
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Committee Opinion No. 399: Management of Tick Bites and Lyme Disease During Pregnancy.委员会意见 No.399:孕期蜱虫叮咬和莱姆病的管理。
J Obstet Gynaecol Can. 2020 May;42(5):644-653. doi: 10.1016/j.jogc.2020.01.001.
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[Clinical manifestations, diagnosis and treatment of Lyme borreliosis].莱姆病的临床表现、诊断与治疗
Ugeskr Laeger. 2017 May 1;179(18).

引用本文的文献

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Giant Erythema in a Child with Lyme Disease.一名莱姆病患儿的巨大红斑
Infect Drug Resist. 2024 Oct 10;17:4343-4348. doi: 10.2147/IDR.S489845. eCollection 2024.
2
Borrelia burgdorferi infections in children and adolescents in Switzerland - a seroprevalence study 2023/2024 (BOBUINCA).瑞士儿童和青少年中伯氏疏螺旋体感染——2023/2024年血清流行率研究(BOBUINCA)
Infection. 2025 Jun;53(3):893-903. doi: 10.1007/s15010-024-02387-7. Epub 2024 Sep 26.
3
Pediatric Lyme Disease in Northern Italy: An 18-Year Single-Center Case Series.
意大利北部的儿童莱姆病:一项为期18年的单中心病例系列研究。
Microorganisms. 2024 Feb 23;12(3):455. doi: 10.3390/microorganisms12030455.