Lyme disease

被引:5
作者
Coyle P.K. [1 ]
机构
[1] Department of Neurology, School of Medicine, State University of New York at Stony Brook, HSC, T-12 Room 020, Stony Brook, 11794-8121, NY
关键词
Babesiosis; Borrelia Burgdorferi; Lyme Borreliosis; Lyme Disease; Peripherally Insert Central Catheter;
D O I
10.1007/s11910-002-0033-2
中图分类号
学科分类号
摘要
Lyme disease is due to infection with a tick-borne spirochete, Borrelia burgdorferi. Risk for infection is confined to regions that contain the Ixodid tick vector. Characteristic skin, musculoskeletal, cardiac, ocular, and neurologic disorders are associated with the local, early dissemination and late stages of infection. Neurologic involvement can be seen at all stages, and involves both central and peripheral nervous system syndromes. The inability to easily culture B. burgdorferi and the lack of a reliable active infection assay have contributed to controversies in diagnosis and management. Because the vast majority of patients are seropositive, however, antibody testing is helpful to support the diagnosis of Lyme disease. With appropriate antibiotics, most patients do well. This infection provides an important model system to understand how interactions between an organism, vector, and host lead to disease. It also provides a model to study how infectious agents lead to neurologic disease. © 2002, Current Science Inc.
引用
收藏
页码:479 / 487
页数:8
相关论文
共 61 条
[11]  
Wormser G.P., Bittker S., Cooper D., Et al., Comparison of the yields of blood cultures using serum or plasma from patients with early Lyme disease, J Clin Microbiol, 38, pp. 1648-1650, (2000)
[12]  
Nadelman R.B., Wormser G.P., Lyme borreliosis, Lancet, 352, pp. 557-565, (1998)
[13]  
Coyle P.K., Schutzer S.C., Neurologic aspects of Lyme disease, Med Clinic North Am, 6, pp. 1-24, (2002)
[14]  
Finizia C., Jonsson R., Hanner P., Serum and cerebrospinal fluid pathology in patients with sudden sensorineural hearing loss, Acta Otolaryngol, 121, pp. 823-830, (2001)
[15]  
Logigian E.L., Kaplan R.F., Steere A.C., Chronic neurologic manifestations of Lyme disease, N Engl J Med, 323, pp. 1438-1444, (1990)
[16]  
Logigian E.L., Kaplan R.F., Steere A.C., Successful treatment of Lyme encephalopathy with intravenous ceftriaxone, J Infect Dis, 180, pp. 377-383, (1999)
[17]  
Mantienne C., Albucher J.F., Catalaa I., Et al., MRI in Lyme disease of the spinal cord, Neuroradiology, 43, pp. 485-488, (2001)
[18]  
Neophytides A., Khan S., Louie E., Subacute cerebellitis in Lyme disease, Int J Clin Pract, 51, pp. 523-524, (1997)
[19]  
Oksi J., Kalimo H., Marttila R.J., Et al., Intracranial aneurysms in three patients with disseminated Lyme borreliosis: cause or chance association?, J Neurol Neurosurg Psychiatry, 64, pp. 636-642, (1998)
[20]  
Halperin J.J., Logigian E.L., Finkel M.F., Pearl R.A., Practice parameters for the diagnosis of patients with nervous system Lyme borreliosis (Lyme disease).Quality Standards Subcommittee of the American Academy of Neurology, Neurology, 46, pp. 619-627, (1996)