tailieunhanh - Báo cáo y học: " Local epidemiology and clinical manifestations of Lyme disease"

Tuyển tập các báo cáo nghiên cứu khoa học ngành y học tạp chí Medical Sciences dành cho các bạn sinh viên ngành y tham khảo đề tài: Local epidemiology and clinical manifestations of Lyme disease. | Int. J. Med. Sci. 2009 6 123 Short Communication International Journal of Medical Sciences 2009 6 3 123 Ivyspring International Publisher. All rights reserved Local epidemiology and clinical manifestations of Lyme disease Walter O. Pavan Regional Referral Centre for Borreliosis Ravenna Italy Published Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans by the bite of infected black-legged ticks. Typical symptoms include fever headache fatigue and a characteristic skin rash called erythema migrans. If left untreated infection can spread to joints the heart and the nervous system. Lyme disease is diagnosed based on symptoms physical findings . rash and the possibility of exposure to infected ticks Figure 1 laboratory testing is helpful in the later stages of disease. Most cases of Lyme disease can be treated successfully with a few weeks of antibiotics However there is no acquired immunity after the recovery and there is no current useful vaccine available. In Italy the vaccine for Lyme disease was withdrawn in the 2002. Steps to prevent Lyme disease include using insect repellent removing ticks promptly landscaping and integrated pest management. The ticks Ixodes ricinus that transmit Lyme disease can occasionally transmit other tick-borne diseases as well. In the USA Lyme disease is endemic in the East Coast and in the region of Lakes with a top in Connecticut. Canada Japan Cina Australia are also endemic areas. In Italy the first Lyme case was described in 1983 and 2616 cases have been described from 1986 to 2001. Emilia Romagna is an endemic area due to the environment with lakes woods and marshy areas. In this Region 722 cases were reported from 1996 to 2007. Lyme disease is important for Public Health it is the most widespread disease transmitted by a vector its transmission is increasing all over the world there is high risk of exposure in the population it is possible to avoid the chronic disabling disease .