Arteaga F, García-Moncó J C
Servicio de Neurología, Hospital de Galdácano, Vizcaya.
Enferm Infecc Microbiol Clin. 1998 Jun-Jul;16(6):265-8.
The conditions for Lyme disease are ideal in northern Spain, but the risk factors are not well established.
To describe the clinico-epidemiological characteristics of those patients hospitalized with the diagnosis of Lyme disease in a region of northern Spain (Vizcaya).
Retrospective analysis of the patients hospitalized with Lyme disease in Vizcaya between 1989 and 1996.
Twenty-six cases met the clinical and serologic CDC criteria, 21 males and 5 females, with a mean age of 52 years. Neurologic manifestations were most common (73%), followed by erythema migrans (62%), arthralgias (38%) and arthritis (15%). Fifty-eight percent of the patients recalled a tick bite and rural professional or recreational activities were the main risk factors. Most of the patients did not seek medical help until late in the disease, which led to greater morbidity.
Increasing number of Lyme disease cases in northern Spain represents a public health problem. Disease morbidity could be reduced by targeted education to populations at risk.
西班牙北部具备莱姆病发病的理想条件，但风险因素尚未完全明确。
描述西班牙北部某地区（比斯开省）因莱姆病诊断住院患者的临床流行病学特征。
对1989年至1996年间在比斯开省因莱姆病住院的患者进行回顾性分析。
26例患者符合临床及美国疾病控制与预防中心（CDC）的血清学标准，其中男性21例，女性5例，平均年龄52岁。神经学表现最为常见（73%），其次是游走性红斑（62%）、关节痛（38%）和关节炎（15%）。58%的患者回忆起曾被蜱虫叮咬，农村职业或娱乐活动是主要风险因素。大多数患者直到疾病晚期才寻求医疗帮助，这导致了更高的发病率。
西班牙北部莱姆病病例数量不断增加，这是一个公共卫生问题。通过对高危人群进行针对性教育，可以降低疾病发病率。
