神经莱姆病(LD)是近年来被认识的一种人畜自然疫源性、累及人体多个器官的蜱媒传染病。少部分患者可分别出现明显的神经系统症状和心脏受累的征象。神经系统可表现为脑膜炎、脑炎、舞蹈病、小脑共济失调、脑神经炎、运动及感觉性神经根炎以及脊髓炎等多种病变,但以脑膜炎、脑神经炎及神经根炎多见。
虽然对于莱姆病的诊断和治疗有一个大体指南,但是对神经型疏螺旋体症的治疗仍有很大的不确定性,而且,至今仍然没有清楚明确的指南。
Although guidelines exist in the diagnosis and treatment of Lyme disease in general, there is great variability in how neuroborreliosis is treated and little clear guidance is currently available.
“我相信慢性莱姆病会影响神经和精神,从而让人产生神经问题。”纽约传染病学家丹尼尔·卡梅隆博士说。
"I'm convinced that Lyme in a chronic form can affect psychiatric issues, neurological issues and you can have neurological problems," New York epidemiologist Dr. Daniel Cameron said.
本文报道从四川省南川县1例面神经麻痹病人血液中分离出1株莱姆病螺旋体。
We recovered a spirochete from the blood of one patient with facial paralysis in Sichuan province.
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