Lyme borreliosis: Clinical case definitions for diagnosis and management in Europe

Lyme borreliosis: Clinical case definitions for diagnosis and management in Europe
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DOI:
10.1111/j.1469-0691.2010.03175.x
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发表时间:
2011-01-01
影响因子:
14.2
通讯作者:
Gray, J.
Gray, J.
中科院分区:
医学1区
文献类型:
--
作者:
Stanek, G.;Fingerle, V.;Gray, J.

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莱姆病由伯氏疏螺旋体基因种复合体的螺旋体引起,是欧洲和北美最常见的蜱传感染。许多临床表现的非特异性给诊断带来了挑战,简明的病例定义对其满意的治疗至关重要。莱姆疏螺旋体病在欧洲和北美非常相似,但欧洲的基因种多样性更大,导致临床表现存在一些重要差异。这些新的欧洲莱姆病病例定义强调了对相关实验室标准支持的临床表现的认识,可用于临床环境和流行病学调查。
P>Lyme borreliosis, caused by spirochaetes of the Borrelia burgdorferi genospecies complex, is the most commonly reported tick-borne infection in Europe and North America. The non-specific nature of many of its clinical manifestations presents a diagnostic challenge and concise case definitions are essential for its satisfactory management. Lyme borreliosis is very similar in Europe and North America but the greater variety of genospecies in Europe leads to some important differences in clinical presentation. These new case definitions for European Lyme borreliosis emphasise recognition of clinical manifestations supported by relevant laboratory criteria and may be used in a clinical setting and also for epidemiological investigations.