巴贝虫病

最后审阅: 24 八月 2022
最后更新: 08 九月 2021

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
更多 关键诊断因素

其他诊断因素

  • 全身性症状
  • 发热
  • 黄疸
  • 肝脾肿大
  • 瘀点、指甲下裂片形出血或瘀斑
  • 小便黄赤
  • 结膜充血
  • 咳嗽
  • 咽痛
  • 畏光
其他诊断因素

危险因素

  • 该病流行区的居民或旅客
  • 接触肩突硬蜱蜱虫
  • 输血
  • 无脾
  • 免疫抑制
  • 年龄>50 岁
  • 莱姆病
  • 人粒细胞无形体病
  • 妊娠期孕妇感染
更多 危险因素

诊断性检查

首要检查

  • 外周血样涂片(Giemsa 或 Wright 染色)
  • 巴贝虫 DNA 聚合酶链反应
  • 全血细胞计数(FBC)
  • 血清肌酐和尿素氮
  • 肝功能检查 (LFT)
  • 尿液分析
  • ELISA 和/或免疫荧光方法检查莱姆病
  • 针对人粒细胞无形体病的聚合酶链反应和/或免疫荧光检测或血沉棕黄层涂片
更多 首要检查

需考虑的检查

  • 对田鼠巴贝虫进行间接免疫荧光抗体测定
  • IgG/IgM 免疫印迹检测莱姆病
  • HIV 血清学
更多 需考虑的检查

治疗流程

急症处理

无症状性明确感染

轻至中度疾病

急性重度疾病

持续性治疗

复发性或难治性疾病

撰稿人

作者

Sarah Hochman, MD

Assistant Professor

Department of Medicine

Division of Infectious Diseases and Immunology

New York University School of Medicine

New York

NY

利益声明

SH declares that she has no competing interests.

Louis Weiss, MD, MPH
Louis Weiss

Professor of Medicine

Division of Infectious Diseases

Professor of Pathology

Division of Parasitology and Tropical Medicine

Albert Einstein College of Medicine

Bronx

NY

利益声明

LW has received grant funding from the National Institute of Allergy and Infectious Diseases. He is also the author of references cited in this topic.

同行评议者

Jeremy Gray, BSc, MSc, PhD

Professor

Department of Environmental Resource Management

University College Dublin

Belfield

Dublin

Republic of Ireland

利益声明

JG declares that he has no competing interests.

Sam Telford III, ScD

Associate Professor of Biomedical Sciences

Division of Infectious Diseases

Cummings School of Veterinary Medicine

Tufts University

Boston

MA

利益声明

ST has active research funding from the NIH. ST is an author or co-author of numerous primary publications on the biology of babesiosis, as well as reviews that have been referenced in this topic.

Raymond J. Dattwyler, MD

Professor of Medicine and Microbiology/Immunology

Chief of Allergy, Immunology and Rheumatology

New York Medical College

Valhalla

NY

利益声明

RJD declares that he has no competing interests.

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