Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness

Michael P. Koster; Aris Garro

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Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness

机译：揭开神经精神疾病儿童患有莱姆病的诊断不确定性

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Lyme disease is endemic in parts of the United States, including New England, the Atlantic seaboard, and Great Lakes region. The presentation has various manifestations, many of which can mimic psychiatric diseases in children. Distinguishing manifestations of Lyme disease from those of psychiatric illnesses is complicated by inexact diagnostic tests and misuse of these tests when they are not clinically indicated. This article aims to describe manifestations of Lyme disease in children with an emphasis on Lyme neuroborreliosis. Clinical scenarios will be presented and discussed. Finally, recommendations for clinical psychiatrists who encounter children with possible Lyme disease are presented.

机译：莱姆病是在美国部分地区的地方，包括新英格兰，大西洋海岸和大湖地区。介绍具有各种表现形式，其中许多人可以模仿儿童精神疾病。在没有临床上指出时，通过不精确的诊断测试和滥用这些测试，使精神疾病患者的表现与精神疾病的表现相似。本文旨在描述患有莱姆尼菌病的儿童莱姆病的表现。将介绍和讨论临床情景。最后，提出了对患有可能莱姆病患者的临床精神科医生的建议。

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来源
《Child and adolescent psychiatric clinics of North America》 |2018年第1期|共10页
作者
Michael P. Koster; Aris Garro;
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作者单位

Department of Pediatrics Alpert Medical School of Brown University Rhode Island Hospital – Hasbro;

Division of Pediatric Emergency Medicine Alpert Medical School of Brown University Rhode Island;

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原文格式 PDF
正文语种 eng
中图分类精神病学;
关键词
Lyme disease; Neuroborreliosis; Neuropsychiatric; Neurocognitive; Post-Lyme disease syndrome;

机译：莱姆病;神经细胞;神经学科;神经认知;莱姆后疾病综合征;

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专利

1. 儿童莱姆病的诊断和治疗 [J] . Hobus.D, 黄永建中德临床肿瘤学杂志（英文版） . 2000,第003期
2. Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness [J] . Michael P. Koster, Aris Garro Child and adolescent psychiatric clinics of North America . 2018,第1期

机译：揭开神经精神疾病儿童患有莱姆病的诊断不确定性
3. The underdiagnosis of neuropsychiatric Lyme disease in children and adults. [J] . Fallon BA, Kochevar JM, Gaito A, The Psychiatric Clinics of North America . 1998,第3期

机译：儿童和成人神经精神病莱姆病的诊断不足。
4. Rational diagnostic strategies for Lyme borreliosis in children and adolescents: recommendations by the Committee for Infectious Diseases and Vaccinations of the German Academy for Pediatrics and Adolescent Health. [J] . H I Huppertz, P Bartmann, U Heininger, European journal of pediatrics . 2012,第11期

机译：儿童和青少年莱姆病的合理诊断策略：德国儿科和青少年健康研究院传染病和疫苗接种委员会的建议。
5. Stress-Induced Changes in Expression of Selected Genes Carried in Lyme Disease Spirochete's Plasmids and the Possible Benefits of This for Molecular Diagnostics [C] . Sylwia Bloch, Katarzyna Licznerska, Agnieszka Felczykowska, International Molecular Medicine Tri-Conference. . 2016

机译：荔枝疾病中所携带的所选基因表达的应激诱导的变化螺旋细胞质粒及其可用于分子诊断的可能益处
6. The relationship between parental illness uncertainty, child illness uncertatinty and parental distress in the Juvenile Rheumatic Diseases. [D] . Junghans, Ashley Nicole. 2010

机译：青少年风湿病中父母疾病的不确定性，儿童疾病的不确定性和父母的困扰之间的关系。
7. Rational diagnostic strategies for Lyme borreliosis in children and adolescents: recommendations by the Committee for Infectious Diseases and Vaccinations of the German Academy for Pediatrics and Adolescent Health [O] . H. I. Huppertz, P. Bartmann, U. Heininger, -1

机译：儿童和青少年莱姆病的合理诊断策略：德国儿科和青少年健康研究院传染病和疫苗接种委员会的建议
8. Rational diagnostic strategies for Lyme borreliosis in children and adolescents: recommendations by the Committee for Infectious Diseases and Vaccinations of the German Academy for Pediatrics and Adolescent Health [O] . H. I. Huppertz, P. Bartmann, U. Heininger, 2012

机译：儿童和青少年莱姆病的合理诊断策略：德国儿科和青少年健康研究院传染病与疫苗接种委员会的建议

Unraveling Diagnostic Uncertainty Surrounding Lyme Disease in Children with Neuropsychiatric Illness

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