Clinical features and prognosis of lyme diseases apropos of 21 cases

VernacularTitle:莱姆病21例的临床特征与转归
Author: Xiaoqing LI ; Xiaoqing LIU ; Guohua DENG ; Zhifeng QIU
Publication Type:Journal Article
Keywords: Lyme disease; Disease attributes
From: Chinese Journal of General Practitioners 2009;08(6):417-419
CountryChina
Language:Chinese
Abstract: We collected the clinical information of 21 in-patients diagnosed as Lyme disease in Peking Union College Univemity Hospital from Apr. 1994 to Jan. 2008. The clinical manifestations, laboratory tests, therapy and prognosis were analyzed retrospectively. 16 of 21 (76%) patients had fever, 14 of 21 (67%) eases had skin lesion, 17 patients had nervous symptoms, 10 cases showed arthrosis and only 2 of 21 eases involved in heart. The antibiotics of penieilin,ceftriaxone and doxyeycline were used for therapy. All of the 21 patients improved clinically and discharged. 12 cases were followed up for 1 month to 12 years and 2 of them relapsed, both of whom were in Stage Ⅲ. 8 cases remained persistent symptoms. As the manifestations of Lyme disease are complicated, for clinical borderline cases the prompt detection of etiological agent may be useful for early diagnosis. The antibiotic therapy should begin as early as possible to avoid developing chronic Lyme disease.