DOI: https://doi.org/10.14739/2310-1210.2020.2.200654

Сложности диагностики у пациентов с подозрением на нейроборрелиоз

I. M. Poiasnyk

Аннотация


 

Нейроборрелиоз – инфекция, вызванная спирохетами, может поражать периферическую или центральную нервную систему на ранних или поздних стадиях заболевания.

Цель работы – анализ современной научной литературы по вопросам клинических проявлений, диагностики раннего и позднего нейроборрелиоза Лайма.

Проведен анализ научной литературы, связанной с диагностикой нейроборрелиоза. Согласно исследованиям авторов, клиническая картина варьируется в зависимости от стадии заболевания, и нейроборрелиоз регистрируют у 25 % пациентов с болезнью Лайма. Клинические проявления этого нередкого расстройства зависят от поражения неврологических структур, которые вовлекаются в первую очередь. Полная клиническая картина нейроборрелиоза может имитировать другие заболевания, поэтому нетипичные симптомы могут привести к задержке или неправильной диагностике.

Выводы. Заболеваемость нейроборрелиозом, по-видимому, намного выше, чем предполагалось ранее. Исследование спинномозговой жидкости (обнаружение специфических антител IgM и IgG к Borrelia burgdorferi) имеет важное значение для диагностики раннего и позднего нейроборрелиоза, поскольку успешное лечение раннего нейроборрелиоза может предотвратить тяжелые последствия позднего нейроборрелиоза.

 


Ключевые слова


нейроборрелиоз; ранняя диагностика; поздняя диагностика

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Литература


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