意大利莱姆病的流行病学研究。

Microbiologica Pub Date : 1992-10-01
M A Cimmino, D Fumarola, V Sambri, S Accardo
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引用次数: 0

摘要

尽管意大利皮肤科医生在很久以前就熟悉了,但直到1971年才在意大利描述了移行性红斑。1983年,发现了首例累及多系统的莱姆病。意大利的流行地区是利古里亚海岸、弗留利-威尼斯朱利亚省和博洛尼亚镇周围的地区。在利古里亚,每年莱姆病的发病率约为每10万人中有17人。普通人群和哨点动物的血清调查在确定莱姆病的扩散方面是无用的,而对有蜱虫叮咬风险的人和有暗示迹象或症状的患者进行评估更为有效。在莱姆病的临床表现中,皮肤受累的频率是神经螺旋体病的四倍,关节炎在意大利比在美国更少。
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The epidemiology of Lyme borreliosis in Italy.

Erythema migrans was described in Italy only in 1971 although Italian dermatologists were familiar with it a long time before. In 1983, the first case of Lyme borreliosis with multisystem involvement was identified. The endemic areas in Italy are the Ligurian coast, the province of Friuli Venezia Giulia, and the region surrounding the town of Bologna. In Liguria, the incidence of Lyme disease is about 17/100,000 inhabitants per year. Serosurveys of the general population and of sentinel animals were useless in determining the diffusion of Lyme borreliosis whereas evaluation of people at risk of tick bites and patients with suggestive signs or symptoms was more effective. Among the clinical manifestations of Lyme borreliosis, cutaneous involvement is four times more frequent than neuroborreliosis and arthritis is less frequent in Italy than in the USA.

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