[儿童莱姆病的神经综合征]

[The neurological syndromes in Lyme disease in children].

作者信息

Badalian L O, Kravchuk L N, Sergovskaia V D, Belousova V S, Minina A P

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 1994;94(3):3-6.

Abstract

Clinical characteristics of Lyme disease (LD) course in children have been studied. Altogether 86 patients were examined. Serodiagnosis was made in patients basing on indirect immunofluorescence and enzyme immunoassay with LD agent antigens. Erythema--free forms, combination of mite-borne Borrelia infection with tick-borne encephalitis were detected. Two clinicoimmunological LD variants were verified: seropositive and seronegative mite-borne Borrelia infection with typical clinical manifestations. The disease took a benign course responsive to antibiotics in combined treatment of neuromuscular lesions.

摘要

对儿童莱姆病（LD）病程的临床特征进行了研究。共检查了86例患者。根据间接免疫荧光法和用LD病原体抗原的酶免疫测定法对患者进行血清学诊断。发现了无红斑形式、螨传疏螺旋体感染与蜱传脑炎的合并情况。证实了两种临床免疫性LD变体：具有典型临床表现的血清阳性和血清阴性螨传疏螺旋体感染。在神经肌肉病变的联合治疗中，该疾病呈良性病程，对抗生素有反应。