Flisiak R, Prokopowicz D, Flisiak I, Bobrowska E, Miegoć H, Grzeszczuk A, Sulik E, Okolów C
Klinika Obserwacyjno-Zakaźna Akademii Medycznej w Białymstoku.
Przegl Epidemiol. 1994;48(3):211-7.
Lyme Borreliosis is a serious diagnostical and therapeutical problem in regions with high exposure of residents to ticks, which are Borrelia burgdorferi vectors. The aim of this study was to estimate occurrence of specyfic antibodies and symptoms of Lyme Borreliosis in Białowieza area, as a region of potential endemic presence of this disease. Antibodies against B. burgdorferi were found, with an immunoenzymatic assay, in 71 from among 143 of examined persons (49.7%). Diagnosis of Lyme Borreliosis was established in 54 persons (37.7% of examined population) according to criterions of Lyme Disease Foundation and Centers for Diseases Control. Symptoms of joints involvement (polyarticular or restricted to knee joints) and peripheral nervous system involvement (predominantly radiculalgia lumbosacralis) were most frequently observed in clinical picture. These results motivate to recognize Białowieza region as an endemic area of Borrelia burgdorferi infections.
莱姆病在居民蜱虫暴露率高的地区是一个严重的诊断和治疗难题，蜱虫是伯氏疏螺旋体的传播媒介。本研究的目的是评估比亚沃韦扎地区莱姆病特异性抗体的出现情况和症状，该地区可能是这种疾病的地方性流行区。通过免疫酶测定法，在143名受检者中有71人（49.7%）检测到了抗伯氏疏螺旋体抗体。根据莱姆病基金会和疾病控制中心的标准，54人（占受检人群的37.7%）被诊断为莱姆病。临床症状中最常观察到的是关节受累症状（多关节或仅限于膝关节）和周围神经系统受累症状（主要是腰骶神经根痛）。这些结果促使人们将比亚沃韦扎地区认定为伯氏疏螺旋体感染的地方性流行区。
