Goldfarb D, Sataloff R T
Department of Otolaryngology-Head and Neck Surgery, Medical Center at Princeton, New Jersey 08540.
Ear Nose Throat J. 1994 Nov;73(11):824-9.
Lyme disease is an important consideration in the differential diagnosis of patients seen by the otolaryngologist. Facial paralysis is the most common sign. The otolaryngologist may also see patients with temporal mandibular joint pain, cervical lymphadenopathy, facial pain, headache, tinnitis, vertigo, decreased hearing, otalgia and sore throat. The incidence is increasing and known to be endemic to certain areas of the United States and abroad. This paper reviews the various ways Lyme disease appears to the otolaryngologist. Three cases along with a discussion including epidemiology, vector, animal host relationship, clinical manifestations and pathophysiology are included. The literature is reviewed and the treatment discussed.
莱姆病是耳鼻喉科医生在鉴别诊断患者时需要重点考虑的疾病。面瘫是最常见的症状。耳鼻喉科医生还可能会接诊患有颞下颌关节疼痛、颈部淋巴结病、面部疼痛、头痛、耳鸣、眩晕、听力下降、耳痛和咽痛的患者。其发病率正在上升，在美国和国外的某些地区呈地方流行态势。本文综述了莱姆病在耳鼻喉科医生眼中的各种表现形式。文中包含三个病例，并对流行病学、传播媒介、动物宿主关系、临床表现和病理生理学进行了讨论。同时对相关文献进行了综述并探讨了治疗方法。
