Lyme borreliosis in the Soviet Union: a cooperative US-USSR report.

Lyme borreliosis in the Soviet Union: a cooperative US-USSR report.
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苏联的莱姆疏螺旋体病:美苏合作报告。

DOI:
10.1093/infdis/158.4.748
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发表时间:
1988
期刊:
The Journal of infectious diseases
影响因子:
--
通讯作者:
Kravchuk,LN
Kravchuk,LN
中科院分区:
--
文献类型:
--
作者:
Dekonenko,EJ;Steere,AC;Berardi,VP;Kravchuk,LN

文献摘要

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我们确定了苏维埃社会主义共和国联盟(苏联)从波罗的海西部共和国到太平洋海洋领土的90名扁虱传播红斑迁徙患者。与红斑相关的症状包括发热、不适和疲劳、头痛、肌痛、关节痛或区域性淋巴结病。在2周至4个月内,58例(%)患者出现神经功能异常,特别是根性疼痛、颅神经炎或淋巴细胞性脑膜炎,4例(4%)患者出现单关节或少关节关节炎。我们使用一种来自美国的分离物对35名苏联患者的血清进行了测试。血清学资料显示,10例迁延性红斑患者中有2例伯氏疏螺旋体IgM和/或Ig G抗体滴度升高,21例神经系统异常患者中15例阳性,4例关节炎患者中2例阳性。我们的观察表明,莱姆疏螺旋体病在苏联的不同地区都有发生。
We identified 90 patients with tick-borne erythema migrans in the Union of Soviet Socialist Republics (USSR) in areas from the western Baltic Republics to the Maritime Territory on the Pacific Ocean. Symptoms associated with the erythema included fever, malaise and fatigue, headache, myalgias, arthralgias, or regional lymphadenopathy. Within two weeks to four months, 58 (64%)of the patients developed neurological abnormalities, particularly radicular pain, cranial neuritis, or lymphocytic meningitis, and four (4%) patients developed monoarticular or oligoarticular arthritis. We tested the sera from 35 Soviet patients by using an isolate from the United States. The serological data showed elevated IgM and/or IgG antibody titers toBorrelia burgdorferiin 2 of 10 patients with erythema migrans, 15 of 21 with neurological abnormalities, and 2 of 4 with arthritis. Our observations suggest that Lyme borreliosis occurs in diverse areas of the USSR.