中国媒介生物学及控制杂志

• 媒介与疾病 • 上一篇    下一篇

四川省南川县莱姆病的调查

李优良1; 郝霁光2; 张哲夫3; 万康林4; 夏先中2; 张金声3; 胡兴文2; 刘洪1; 蒋明洲1; 冯富良1   

  1. 1四川涪陵地区卫生防疫站 涪陵市648000; 2四川南川县卫生防疫站; 3中国预防医学科学院流行病学微生物学研究所
  • 出版日期:1991-02-20 发布日期:1991-02-20

The investigation of Lyme disease in Nanchuan county of Sichuan province

Li Youliang;et al   

  1. The Anti-Epidemic and Sanitary station of Sichuan Fuling prefecture
  • Online:1991-02-20 Published:1991-02-20

摘要: 四川东部南川县是莱姆病流行区。本文对300例居民进行了血清学调查,抗莱姆病螺旋体IgG抗体阳性54人,人群自然感染率为18%。35例经临床和血清学确诊的莱姆病患者,其临床表现为慢性游走性红斑7例,关节炎13例,面神经麻痹7例,多发性神经炎7例,脑膜炎2例和心脏异常1例。47只微小牛蜱的中肠标本,有3只检出了螺旋体,带菌率为6.4%。

关键词: 莱姆病, 莱姆病螺旋体, 慢性游走性红斑, 微小牛蜱

Abstract: This is the first report that the infectious area of Lyme disease was proved in Nanehuan county of Sichuan Province. The sera of 300 forest residents were tested for antibodies against Borrelia burgdorferi(strain B31) by IFA, 54(18%) residents had significant IgG titers. 35 cases including 7 cases of Erythema Chronicum Migrans, 13 cases of arthritis, 7 cases of facial paralysis, 5 cases of potyneuritis, 2 cases of mengitis and 1 case of cardiac abnormalities were confirmed being Lyme disease by serologic al and clinical examination.Spirochetes were observed in the midguts of 6.4% of 47 Boophilus microplus in this area by Direct Immunofluorescence test.