最近审阅: 24 十月 2020
最近更新: 16 十一月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 游走性红斑
  • 全身性症状

其他诊断因素

  • 面瘫
  • 关节炎或者关节痛
  • 局部淋巴结肿大变
  • 颈强直
  • 皮肤淋巴细胞瘤
  • 慢性萎缩性肢皮炎
  • 房室 (AV) 传导阻滞或者心肌心包炎
  • 神经根神经病
  • 脑脊髓膜炎、外周神经病变或脑病

危险因素

  • 接触携带螺旋体的蜱虫
  • 户外活动
  • 蜱叮咬的持续时间

诊断性检查

首要检查

  • 酶联免疫吸附测定 (ELISA) 或免疫荧光检测 (IFA)
更多 首要检查

需考虑的检查

  • 莱姆病特异性 IgM 和 IgG
  • 皮肤活检培养
  • 聚合酶链反应 (PCR)
  • 心电图 (ECG)
更多 需考虑的检查

治疗流程

撰稿人

Janak Koirala

Professor of Medicine and Division Chief

Division of Infectious Diseases

Southern Illinois University School of Medicine

Springfield

IL

利益声明

JK declares that he has no competing interests.

Janak Koirala would like to gratefully acknowledge Dr Tin Han Htwe and Dr Cristian A. Speil, previous contributors to this topic. THH and CAS declare that they have no competing interests.

同行评议者展开全部内容

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.

Assistant Professor of Neurology and Neurosurgery

SUNY at Buffalo

Stroke/Neurocritical Care

Millard Fillmore Gates Hospital - Kaleida Stroke Center

Buffalo

NY

利益声明

IC declares that she has no competing interests.

Lecturer in Tropical Medicine

University College Dublin

Medical Director

Tropical Medical Bureau

Ireland

利益声明

GF declares that he has no competing interests.

Physician

Centre for Tick-Borne Diseases

Budapest

Hungary

利益声明

AL is an author of a reference cited in this monograph.

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