两个昆虫,两个咬伤,一个病人:莱姆病和詹姆斯敦峡谷联合感染
Nicholas S Weiler1, Eric Niendorf2, Igor Dumic3
1Research, Mayo Clinic Health Systems, Eau Claire, USA.
Cureus
|July 12, 2023
概括
本病例报告详细介绍了莱姆病 (LD) 和杰姆斯敦峡谷病毒 (JCV) 首次已知的同时感染,该病例发生在患有红血和脑膜炎的患者身上. 它强调了诊断方面的挑战,以及在特有地区考虑共感染的重要性.
科学领域:
- 传染性疾病 传染性疾病
- 医学昆虫学 医学昆虫学
- 神经学 神经学
背景情况:
- 由*Borrelia burgdorferi*引起的莱姆病 (LD) 是美国最常见的传播疾病.
- 杰姆斯敦峡谷病毒 (JCV) 是一种由蚊子传播的新兴病原体,在美国中西部和东北部地区普遍存在.
- 之前没有记录过涉及LD和JCV的同时感染.
研究的目的:
- 报告了第一例与莱姆病和詹姆斯敦峡谷病毒联合感染的记录.
- 讨论这种共感染的临床表现,诊断挑战和影响.
- 强调在来自载体流行地区的患者中考虑共感染的重要性.
主要方法:
- 一个36岁的男性患者的病例报告,呈现出红血和脑膜炎.
- 临床评估包括脑脊液 (CSF) 分析.
- 关于JCV感染,LD和共感染的文献综述.
主要成果:
- 患者呈现出红血,通常在早期局部化LD中见到,但也表现出脑膜炎症状.
- 脑脊髓的测试对神经质病的确诊性并不确定,这使得诊断变得更加复杂.
- 该患者最终被诊断患有JCV脑膜炎,这表明了共感染的情况.
结论:
- 这一病例是第一个报告的莱姆病和杰姆斯敦峡谷病毒的联合感染.
- 通过不同的载体 (虫和蚊子) 传播的病原体的同时存在造成了诊断复杂性.
- 临床医生应考虑居住在多种载体传播疾病流行地区的个体的共同感染.
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