CCPortal
DOI10.1073/pnas.91.7.2378
Lyme disease: A growing threat to urban populations
Steere A.C.
发表日期1994
ISSN0027-8424
起始页码2378
结束页码2383
卷号91期号:7
英文摘要Lyme disease or Lyme borreliosis, which is caused by three groups of the spirochete Borrelia burgdorferi, is transmitted in North America, Europe, and Asia by ticks of the Ixodes ricinus complex. The primary areas around the world that are now affected by Lyme disease are near the terminal moraine of the glaciers 15,000 years ago. The emergence of Lyme disease in the United States in this century is thought to have occurred because of ecological conditions favorable for deer. From 1982 through 1991, 40,195 cases occurring in 47 states were reported to the Centers for Disease Control, but enzootic cycles of B. burgdorferi have been identified in only 19 states. During the last several decades, the disease has spread to new areas and has caused focal outbreaks, including locations near Boston, New York, and Philadelphia. Lyme disease is like syphilis in its multisystem involvement, occurrence in stages, and mimicry of other diseases. Diagnosis of late neurologic abnormalities of the disorder has created the most difficulty. A recent phenomenon is that a number of poorly understood conditions, such as chronic fatigue syndrome or fibromyalgia, are misdiagnosed as 'chronic Lyme disease.' Part of the reason for misdiagnosis is due to problems associated with diagnostic tests. The various manifestations of Lyme disease can usually be treated successfully with oral doxycycline or amoxicillin, except for objective neurologic manifestations, which seem to require intravenous therapy. Vector control of tick-borne diseases has been difficult and, therefore, reduction of the risk of infection has been limited primarily to personal protection measures.
语种英语
scopus关键词amoxicillin; doxycycline; Borrelia burgdorferi; chronic fatigue syndrome; conference paper; differential diagnosis; enzyme linked immunosorbent assay; fibromyalgia; human; infection risk; Lyme disease; nonhuman; oral drug administration; priority journal; United States; vector control; Acari; Borrelia; Borrelia burgdorferi; Cervidae; Ixodes ricinus; Spirochaetales
来源期刊Proceedings of the National Academy of Sciences of the United States of America
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/159213
作者单位Steere, A.C., Division of Rheumatology/Immunology, Tufts University School of Medicine, New England Medical Center, Boston, MA 02111, United States, New England Medical Center, Box 406, 750 Washington Street, Boston, MA 02111, United States
推荐引用方式
GB/T 7714
Steere A.C.. Lyme disease: A growing threat to urban populations[J],1994,91(7).
APA Steere A.C..(1994).Lyme disease: A growing threat to urban populations.Proceedings of the National Academy of Sciences of the United States of America,91(7).
MLA Steere A.C.."Lyme disease: A growing threat to urban populations".Proceedings of the National Academy of Sciences of the United States of America 91.7(1994).
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Steere A.C.]的文章
百度学术
百度学术中相似的文章
[Steere A.C.]的文章
必应学术
必应学术中相似的文章
[Steere A.C.]的文章
相关权益政策
暂无数据
收藏/分享

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。