Abstract
До 25 % всех заболевших Лайм-боррелиозом — это дети в возрасте 5–9 лет. У детей также выделяют три клинико-патогенетические стадии лаймской болезни. Типичный признак боррелиоза — эритема ≥ 5 см в диаметре, возникающая в месте присасывания клеща через 1–32 дня. Диссеминация Borrelia burgdorferi s.l. обусловливает клинический полиморфизм. Клещевой боррелиоз не является акушерской инфекцией. Несмотря на адекватную антибиотикотерапию, возможно развитие постборрелиозного синдрома.
Highlights
Humans posses specific sensitivity to infection of Borrelia burgdorferi, s. l., due to which Lyme disease can be diagnosed at any age and in both sexes
Incubational period of Lyme borreliosis begins with moment of tick adhesion, till appearance of single or multiple migrating erythema and/or signs of general intoxication
For the macula ≤ 5 cm there are three criteria suggested “for inclusion into Lyme disease”: (1) macula appeared at the place of Ixodes tick bite, (2) time interval between Ixodes tick bite and appearance of macula is within incubational period of the disease, (3) gradual increase of macula size + 2 above mentioned signs
Summary
Humans posses specific sensitivity to infection of Borrelia burgdorferi, s. l., due to which Lyme disease can be diagnosed at any age and in both sexes. Humans posses specific sensitivity to infection of Borrelia burgdorferi, s. About 25% of all cases of tick-born borreliosis are diagnosed in children.
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