Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- erythema migrans
- constitutional symptoms
Другие диагностические факторы
- facial palsy
- arthritis or arthralgia
- regional lymphadenopathy
- stiff neck
- lymphocytoma cutis
- acrodermatitis chronica atrophicans
- atrioventricular (AV) block or myopericarditis
- radiculoneuropathy
- encephalomyelitis, peripheral neuropathy, encephalopathy
Факторы риска
- exposure to infected ticks
- outdoor activities
- tick bite duration
Диагностические исследования
Исследования, которые показаны в первую очередь
- enzyme immunoassay or immunofluorescence assay
Исследования, проведение которых нужно рассмотреть
- Lyme-specific IgM and IgG (immunoblot assays)
- skin biopsy culture
- polymerase chain reaction (PCR)
- ECG
Алгоритм лечения
known high risk tick bite
erythema migrans
cardiac involvement
neurologic disease
arthritis
recurrent or persistent arthritis
Составители
Авторы
Janak Koirala, MD, MPH, FACP, FIDSA
Professor of Medicine and Infectious Diseases
Division of Infectious Diseases
Southern Illinois University School of Medicine
Springfield
IL
Раскрытие информации
JK declares that he has no competing interests.
Выражение благодарностей
Dr Janak Koirala would like to gratefully acknowledge Dr Tin Han Htwe and Dr Cristian A. Spiel, previous contributors to this topic.
Раскрытие информации
THH and CAS declare that they have no competing interests.
Рецензенты
Raymond J. Dattwyler, MD
Professor of Medicine and Microbiology/Immunology
Chief of Allergy, Immunology and Rheumatology
New York Medical College
Valhalla
NY
Раскрытие информации
RJD declares that he has no competing interests.
Ionita Catalina, MD
Assistant Professor of Neurology and Neurosurgery
SUNY at Buffalo
Stroke/Neurocritical Care
Millard Fillmore Gates Hospital - Kaleida Stroke Center
Buffalo
NY
Раскрытие информации
IC declares that she has no competing interests.
Graham Fry, MB, FRCSI, DTM&H
Lecturer in Tropical Medicine
University College Dublin
Medical Director
Tropical Medical Bureau
Ireland
Раскрытие информации
GF declares that he has no competing interests.
Andras Lakos, MD, PhD
Physician
Centre for Tick-Borne Diseases
Budapest
Hungary
Раскрытие информации
AL is an author of a reference cited in this topic.
Список литературы
Основные статьи
Lantos PM, Rumbaugh J, Bockenstedt LK, et al. Clinical practice guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 guidelines for the prevention, diagnosis and treatment of Lyme disease. Clin Infect Dis. 2021 Jan 23;72(1):e1-48.Полный текст Аннотация
Centers for Disease Control and Prevention. CDC Yellow Book 2024: health information for international travel. Section 5: travel-associated infections & diseases - Lyme disease. May 2023 [internet publication].Полный текст
Mead P, Petersen J, Hinckley A. Updated CDC recommendation for serologic diagnosis of lyme disease. MMWR Morb Mortal Wkly Rep. 2019 Aug 16;68(32):703.Полный текст Аннотация
Mygland A, Ljøstad U, Fingerle V, et al; European Federation of Neurological Societies. EFNS guidelines on the diagnosis and management of European Lyme neuroborreliosis. Eur J Neurol. 2010 Jan;17(1):8-16;e1-4.Полный текст Аннотация
National Institute for Health and Care Excellence. Lyme disease. Oct 2018 [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Local inflammatory reaction to tick bite
- Tickbite allergy
- Cellulitis
Больше ОтличияРекомендации
- CDC Yellow Book: health information for international travel - Lyme disease
- 2020 guidelines for the prevention, diagnosis and treatment of Lyme disease
Больше РекомендацииЛифлеты для пациента
Lyme disease
Больше Лифлеты для пациента
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