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美国中北部北卡罗来纳州局部获得性莱姆病的延迟诊断。

Delayed Diagnosis of Locally Acquired Lyme Disease, Central North Carolina, USA.

出版信息

Emerg Infect Dis. 2024 Mar;30(3):564-567. doi: 10.3201/eid3003.231302.

DOI:10.3201/eid3003.231302
PMID:38407256
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10902532/
Abstract

Healthcare providers in North Carolina, USA, have limited experience diagnosing and managing Lyme disease because few cases occur annually statewide. We outline the prolonged diagnostic course for a patient with locally acquired Lyme disease in North Carolina. This case highlights the need for greater awareness and professional education.

摘要

美国北卡罗来纳州的医疗保健提供者在诊断和治疗莱姆病方面经验有限,因为全州每年发生的病例很少。我们概述了北卡罗来纳州一名本地获得性莱姆病患者的漫长诊断过程。该病例强调了提高认识和专业教育的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fc/10902532/93288b5ae06f/23-1302-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fc/10902532/93288b5ae06f/23-1302-F.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7fc/10902532/93288b5ae06f/23-1302-F.jpg

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Reported County-Level Distribution of Lyme Disease Spirochetes, Borrelia burgdorferi sensu stricto and Borrelia mayonii (Spirochaetales: Spirochaetaceae), in Host-Seeking Ixodes scapularis and Ixodes pacificus Ticks (Acari: Ixodidae) in the Contiguous United States.报告的莱姆病螺旋体、伯氏疏螺旋体和梅奥尼亚伯氏疏螺旋体(螺旋体目:疏螺旋体科)在宿主寻找的肩突硬蜱和太平洋硬蜱(蜱螨目:硬蜱科)中的县级分布在美国接壤地区。
J Med Entomol. 2021 May 15;58(3):1219-1233. doi: 10.1093/jme/tjaa283.
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Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease.
美国传染病学会 (IDSA)、美国神经病学学会 (AAN) 和美国风湿病学会 (ACR) 的临床实践指南:2020 年莱姆病预防、诊断和治疗指南。
Clin Infect Dis. 2021 Jan 23;72(1):e1-e48. doi: 10.1093/cid/ciaa1215.
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