感染症内科外来で診断に 1 年以上を要したライム病の 1 例

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タイトル別名
  • A Case of Lyme Disease Requiring Over 1 year to Diagnose at an Infectious-disease Clinic
  • 症例 感染症内科外来で診断に1年以上を要したライム病の1例
  • ショウレイ カンセンショウ ナイカ ガイライ デ シンダン ニ 1ネン イジョウ オ ヨウシタ ライムビョウ ノ 1レイ

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抄録

A 42-year-old woman presenting with years of fever and vague symptoms could not be satisfactorily diagnosed in physical examination or conventional workups. She was presumptively diagnosed with chronic fatigue syndrome and treated symptomatically. Fourteen months after the initial visit, she developed left facial palsy. Lyme disease serology was positive. Four weeks of oral amoxicillin ameliorated symptoms. Only 5 to 15 cases of Lyme disease are reported annually in Japan, mostly from the northeastern-most island of Hokkaido. It may occur anywhere in Japan, however; probably is underdiagnosed. Lyme disease may cause fevers of unknown origin. Astute clinical suspicion and appropriate workups are thus needed to diagnose this infection.

収録刊行物

  • 感染症学雑誌

    感染症学雑誌 87 (1), 44-48, 2013

    一般社団法人 日本感染症学会

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