莱姆病一例临床分析并文献复习.doc

编号: W02 【摘要】: 目的:提高对莱姆病的认识,达到早期诊断及早进行治疗的目的。方法:回顾性分析新疆维吾尔自治区人民医院确诊的莱姆病一例进行临床特征的分析并进行相关的文献复****结果:此例莱姆病患者,有牧区工作的流行病学史, 有发热,伴有皮肤、关节、肌肉等多脏器受累的表现,多西环素及大剂量青霉素治疗有效。结论: 莱姆病在新疆时有发生, 在诊疗工作中应该引起重视,早期诊断以减少并发症的出现。【关键词】:莱姆病【Abstract 】 Object : Toach ieve the purpose ofearly di agnosis and prompt treatment by enhancing the understanding of Lyme disease. Methods :A patient diagnosed with Lyme disease was admitted in Xinjiang Uygur people hospital, which asa retrospective case report was discussed and reviewed. Result : The patient had a history ofworking ina pasturing area , who experienced symptoms such as fever, besides systems like skins, joints, muscles and so on were impaired. D oxycycline and large dose of penicillin were effective in treatment. Conclusion : It should be pay more attentions indiagnosis and treatment since Lyme disease occurs often in Xinjiang. Early diagnosis in order to plications. 【 Key words 】:Lyme disease 莱姆病(Lyme disease) 是由伯氏疏螺旋体(Bolrelia burgdorferi) 引起的一种人畜共患慢性自然疫源性蜱媒传染病。本病临床表现多样,可出现多系统或多器官受累及功能障碍,临床常易误诊。现将我院近期确诊的莱姆病一例报道如下, 并结合文献进行复****临床资料患者,男性,39岁,汉族,司机。以“反复发热 1月”入院。患者入院前 1 月无明显诱因出现发热,体温最高 ℃,伴咽痛、全身酸痛,就诊私人诊所诊断“感冒”,给予退热、抗炎等治疗 3-4 天体温降至正常(具体用药不详) 。入院一周前再次出现发热,体温 39℃,发热无明显规律,仍伴有咽痛,全身肌肉酸痛、乏力,并出现双下肢出现皮疹,就诊当地医院,诊断考虑为“发热待查:1. 急性上呼吸道感染 ? ”先后给予“青霉素、氨曲南、阿奇霉素”抗炎治疗(具体用药剂量频次不详) ,患者双下肢皮疹渐消退,但仍发热伴全身肌肉酸痛、乏力,治疗 10 天后再次出现胸腹部及四肢红色皮疹,为进一步诊疗,于201 2 年5月30 日就诊我院。病程中患者无明显流涕、无咳嗽、咳痰