Myers S A, Sexton D J
Department of Medicine, Duke University Medical Center, Durham, NC 27710.
Infect Dis Clin North Am. 1994 Sep;8(3):689-712.
The arthropod-borne rickettsial, borrelial, and bacterial diseases of North America are a diverse group of disorders that produce a wide variety of cutaneous abnormalities. These dermatologic abnormalities are often valuable clinical clues that may reveal or suggest the correct diagnosis to the astute clinician. We review the usual and unusual dermatologic manifestations of Rocky Mountain spotted fever, murine and sylvatic typhus, rickettsialpox, ehrlichiosis, Lyme disease, tick-borne relapsing fever, Colorado tick fever, and tularemia. In some of these diseases, skin manifestations may be diagnostic; in others, dermatologic findings may be the initial and only clues that leads to the initiation of life-saving therapy. In other arthropod-borne infections, the appearance or evolution of the skin rash may be characteristic enough to suggest the proper diagnosis.
北美洲节肢动物传播的立克次体病、疏螺旋体病和细菌感染性疾病是一组多样的病症，可导致各种各样的皮肤异常。这些皮肤异常常常是有价值的临床线索，能为敏锐的临床医生揭示或提示正确的诊断。我们回顾落基山斑疹热、鼠型斑疹伤寒和丛林斑疹伤寒、立克次体痘、埃立克体病、莱姆病、蜱传回归热、科罗拉多蜱传热和兔热病常见及不常见的皮肤表现。在其中一些疾病中，皮肤表现可能具有诊断意义；在其他疾病中，皮肤检查结果可能是启动挽救生命治疗的最初且唯一线索。在其他节肢动物传播的感染中，皮疹的外观或演变可能具有足够的特征性以提示正确的诊断。
