ISSN 1003-8280 CN 10-1522/R 中国疾病预防控制中心 主办
Chines Journal of Vector Biology and Control
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Jiao Hui; Zhao Ran; Wang Fenghong; et al
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焦辉1; 赵冉2; 王凤红3; 万康林4; 张哲夫4
Abstract: We have analyzed 14 patients with Lyme disease by an erroneous diagnosis. These patients at last diagnosed with Lyme disease of nervous system by IFA,ELISA and W.B.. These patients had the features of being a attacked repeately with a disease of damage of nervous system (for example, Guillain-barré syndrome and facial paralysis),no early symptems (fever,erythra), EMG change being neurogenic damage. This study pointed out that a patient from forest region which was a attacked repeately with a disease of damage of nervous system (Guillain-barré syndrome and facial paralysis) and was the history of tick bite might be Lyme disease.
摘要: 目的:分析14例莱姆病被误诊的原因。方法:免疫荧光试验、酶联免疫吸附试验、蛋白电泳足迹测定。结果:被误诊的14例患者均以神经系统症状为首发,提示无发热、皮疹的最初表现,而反复出现神经系统损伤或潜伏期长,有明显的格林巴利综合症和面瘫病史,按神经系统疾病治疗或激素治疗无效,夜间蚁走样感觉明显,肌电图示神经原性损伤,脑脊液蛋白偏高,其余各项检查正常,应做莱姆病检查。合并格林巴利综合症的莱姆病患者,除用大剂量抗菌素外,还应以少量激素冲击治疗。结论:没有明显“三期”的莱姆病患者,症状与其他疾病很接近,易被误诊。
关键词: 莱姆病, 误诊, 分析
Jiao Hui; Zhao Ran; Wang Fenghong; et al. Analysis of 14 Patients with Lyme Disease by an Erroneous Diagnosis[J]. Chines Journal of Vector Biology and Control.
焦辉1; 赵冉2; 王凤红3; 万康林4; 张哲夫4. 被误诊的莱姆病14例分析[J]. 中国媒介生物学及控制杂志.
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