BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 游走性红斑
  • 全身性症状

其他诊断因素

  • 面瘫
  • 关节炎或者关节痛
  • 局部淋巴结病变
  • 颈强直

危险因素

  • 接触携带螺旋体的蜱虫
  • 户外活动
  • 蜱叮咬的持续时间

诊断性检查

首要检查

  • 酶联免疫吸附测定 (ELISA) 或免疫荧光检测 (IFA)
全部具体信息

需要考虑的检查

  • 莱姆病特异性 IgM 和 IgG
  • 皮肤活检培养
  • 聚合酶链反应 (PCR)
  • 心电图 (ECG)
全部具体信息

治疗流程

贡献者

Janak Koirala MD, MPH, FACP, FIDSA

Professor of Medicine and Division Chief

Division of Infectious Diseases

Southern Illinois University School of Medicine

Springfield

IL

利益冲突披露
JK declares that he has no competing interests.

Janak Koirala would like to gratefully acknowledge Dr Tin Han Htwe and Dr Cristian A. Speil, previous contributors to this topic. THH and CAS declare that they have no competing interests.

同行评议专家 查看所有

Professor of Medicine and Microbiology/Immunology

Chief of Allergy, Immunology and Rheumatology

New York Medical College

Valhalla

NY

利益冲突披露
RJD declares that he has no competing interests.

Assistant Professor of Neurology and Neurosurgery

SUNY at Buffalo

Stroke/Neurocritical Care

Millard Fillmore Gates Hospital - Kaleida Stroke Center

Buffalo

NY

利益冲突披露
IC declares that she has no competing interests.

Lecturer in Tropical Medicine

University College Dublin

Medical Director

Tropical Medical Bureau

Ireland

利益冲突披露
GF declares that he has no competing interests.

Physician

Centre for Tick-Borne Diseases

Budapest

Hungary

利益冲突披露
AL is an author of a reference cited in this monograph.

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