论文部分内容阅读
Lyme病是近年来认识的一种由带有螺旋体的蜱类叮咬宿主而传播的疾病。病原体为Borrelia螺旋体,与回归热螺旋体同为一属。本病最初由Steere于1975年首次在美国康涅狄格州Lyme镇发现并报道。国内自艾承绪1986年率先报道以来,各地(包括城市)先后发现此病患者。该病是一种炎症性多系统疾病,可引起眼部、关节、肌肉、神经、皮肤等多种损害。实验室测定抗Borrelia螺旋体抗体(简称抗BB抗体)是诊断的主要依据。血培养或其他病原学检查可明确诊断。应用抗生素为主要治疗方法。我院1990年收治的Lyme病患者(抗BB抗体测试均阳性)在用抗生素治疗过程中,4例出现发热反应。现就这一现象作一探讨。
Lyme disease is a disease known in recent years that is transmitted by tick-bite hosts with spirochaetes. The pathogen is Borrelia spirochaete, which belongs to the same genera as the reversion spirochete. The disease was first discovered and reported by Steere in 1975 in Lyme, Connecticut, USA. Since the first report from Ai Chengxu in China in 1986, all localities (including cities) have discovered the patients. The disease is an inflammatory multi-system disease, can cause eye, joint, muscle, nerve, skin and other damage. Laboratory determination of Borrelia Borrelia antibody (referred to as anti-BB antibody) is the main basis for the diagnosis. Blood culture or other etiological examination can confirm the diagnosis. Application of antibiotics as the main treatment. In our hospital in 1990, patients with Lyme disease (anti-BB antibody test were positive) in the course of antibiotic treatment, fever occurred in 4 cases. Now on this phenomenon for a discussion.