波兰东北部莱姆病流行病学及临床特点

R Flisiak, D Prokopowicz
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摘要

莱姆病(LB)由蜱传螺旋体伯氏疏螺旋体引起,与各种各样的症状有关,包括皮肤、风湿病、神经和心脏异常,这些症状可能因地区而异。为了确定波兰,特别是东北部地区LB的临床表现,我们研究了46例患者。根据标准确定LB的诊断,包括ELISA血清学证实LB似乎是一种疾病,波兰肾脏患病率高于最初估计。该病的临床表现与在世界其他地区观察到的情况没有显著差异。唯一但重要的例外是伯氏疏螺旋体感染的更频繁表现为脑膜炎或/和脑炎(48%的患者)。
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[Epidemiologic and clinical characteristics of Lyme borreliosis in northeastern Poland].

Lyme borreliosis (LB) caused the tick-borne spirochete B. burgdorferi, is associated with a wide variety of manifestations including dermatologic, rheumatologic, neurologic and cardiac abnormalities, that can differ from one region to another. To define clinical picture of LB in Poland, particularly in north-eastern region, we studied in 46 patients. Diagnosis of LB was established according to criterion, including serological confirmation with ELISA LB seems to be disease, which renal prevalence in Poland is higher, than it was primarily estimated. Clinical picture of the disease does not differ significantly from observed in other parts of the world. The only, but important exception is more frequent manifestation of B. burgdorferi infections with meningitis or/and encephalitis (48% of patients).

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[Advances in studies on the release and modulation of fever]. [Sepsis--generalized infection. The treatment of adults based on personal observations]. [Sepsis--a generalized infection. Etiopathogenetic, diagnostic and clinical problems in adults based on personal experiences]. [Herpes zoster--clinical aspects]. [Analysis of selected parameters of damage to the liver during the course of tick-borne encephalitis].
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