Caflisch U, Tönz O, Schaad U B, Aeschlimann A, Burgdorfer W
Schweiz Med Wochenschr. 1984 May 5;114(18):630-4.
Three pediatric cases of tick-borne meningoradiculitis are presented. This disease is characterized by a distinct sequence of symptoms: erythema chronicum migrans, localized pain, and eventually radicular asymmetric neurologic involvement (in particular facial palsy) associated with findings of aseptic meningitis. On the basis of specific serologic data in these three patients, it is suggested that the etiology of tick-borne meningoradiculitis is also spirochetal , as recently shown for the tick-associated Lyme disease. Analogue positive spirochetal antibody titers were found in additional patients with erythema chronicum migrans and in a child with B afverstedt cutaneous lymphadenosis (see addendum). 20% of tick specimens collected in the area of Lucerne (Ixodes ricinus) were infected by these spirochetes.
本文报告了3例蜱传脑膜神经根炎的儿科病例。该疾病具有独特的症状序列：慢性游走性红斑、局部疼痛，最终出现与无菌性脑膜炎相关的不对称神经根性神经受累（尤其是面神经麻痹）。根据这3例患者的特异性血清学数据，提示蜱传脑膜神经根炎的病因也是螺旋体，正如最近蜱传莱姆病所显示的那样。在其他慢性游走性红斑患者和1例患有阿弗斯泰德皮肤淋巴结病的儿童中也发现了类似的螺旋体抗体阳性滴度（见附录）。在卢塞恩地区采集的蜱标本（蓖麻硬蜱）中有20%被这些螺旋体感染。
