Deutsche medizinische Wochenschrift (1946) · 2011
[Suspected borreliosis - what's behind it?].
СтатьяНазвание и аннотация: Перевод в очереди
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Hanses F, Audebert F-X, Glück T, Salzberger B, Ehrenstein B P
Аннотация
BACKGROUND AND OBJECTIVE: Borreliosis may be associated with unspecific symptoms and thus not only cause difficulties in diagnosis but also lead to overdiagnosis.
PATIENTS AND METHODS: Data on 134 patients (mean age 47 [12 - 78] years, 51.5 % male) with suspected borreliosis presenting at the university hospital Regensburg were analyzed retrospectively.
RESULTS: The majority of patients had been adequately treated for borreliosis previously. 34 patients (25.4 %) had proven or possible borreliosis, 20 patients (14.9 %) presented for consultation only. Regarding the remaining 80 patients (59.7 %), in 36 (45 %) a rheumatologic, orthopedic or neurologic disease was found as causal for the presenting symptoms, in 44 (55 %) no somatic disease could be diagnosed.
CONCLUSION: A careful differential diagnosis seems mandatory in patients with suspected borreliosis and persistent complaints.
PATIENTS AND METHODS: Data on 134 patients (mean age 47 [12 - 78] years, 51.5 % male) with suspected borreliosis presenting at the university hospital Regensburg were analyzed retrospectively.
RESULTS: The majority of patients had been adequately treated for borreliosis previously. 34 patients (25.4 %) had proven or possible borreliosis, 20 patients (14.9 %) presented for consultation only. Regarding the remaining 80 patients (59.7 %), in 36 (45 %) a rheumatologic, orthopedic or neurologic disease was found as causal for the presenting symptoms, in 44 (55 %) no somatic disease could be diagnosed.
CONCLUSION: A careful differential diagnosis seems mandatory in patients with suspected borreliosis and persistent complaints.
Предметные рубрики MeSH
AdolescentAdultAgedAnimalsAnti-Bacterial AgentsBites and StingsBorrelia burgdorferiCentral Nervous System DiseasesChildChronic DiseaseDiagnosis, DifferentialFemaleGlossitis, Benign MigratoryHospitals, UniversityHumansLyme DiseaseLyme NeuroborreliosisMaleMiddle AgedMusculoskeletal DiseasesRetrospective StudiesRheumatic DiseasesSyndromeTicksYoung Adult