Diagnostic Testing for Patients With Suspected Ocular Manifestations of Lyme Disease.

Morgan L Thomsen, Fatima M Raposo, Paul B Greenberg, Robert H Janigian, Melissa M Gaitanis, Amanda M Hunter
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Abstract

Background: Lyme disease is a bacterial infection caused by the spirochete Borrelia burgdorferi sensu lato complex transmitted by the Ixodes tick genus. There is uncertainty regarding proper diagnostic testing for suspected cases. Ocular manifestations have been documented in all stages of Lyme disease, but are more prevalent in early disseminated disease.

Observations: This review article provides guidelines for the appropriate diagnostic testing to obtain when encountering ocular manifestations of suspected Lyme disease.

Conclusions: To ensure timely diagnosis and treatment, eye care clinicians should be familiar with the appropriate diagnostic testing for patients suspected to have ocular manifestations of Lyme disease. If testing confirms Lyme disease, refer the patient to an infectious disease specialist for antimicrobial treatment and additional management.

疑似莱姆病眼部表现患者的诊断检测。
背景:莱姆病是一种由布氏疏螺旋体引起的细菌感染,由蜱属伊蚊传播。对疑似病例进行适当的诊断检测存在不确定性。眼部表现在莱姆病的所有阶段都有记载,但在早期播散性疾病中更为普遍。观察:这篇综述文章提供了当遇到疑似莱姆病的眼部表现时适当的诊断测试指南。结论:对于疑似有莱姆病眼部表现的患者,眼保健临床医生应熟悉相应的诊断检测方法,以确保及时诊断和治疗。如果检测证实患有莱姆病,应将患者转诊给传染病专家,接受抗微生物治疗和额外管理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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