How to diagnose neurolyme disease?

summary

The nervous system can be manifested as meningitis, encephalitis, chorea, cerebellar ataxia, cerebral neuritis, motor and sensory radicitis, myelitis and other diseases, but meningitis, cerebral neuritis and radicitis are more common. The disease may attack repeatedly, and occasionally develop into dementia and personality disorder. How to diagnose neurolyme disease? Next, I'd like to share my views with you.

How to diagnose neurolyme disease?

The early symptoms of the disease are not typical, the onset is insidious, and the incubation period can be as long as several months to one year. The course of the disease has the process of recurrence and remission. Sometimes it is misdiagnosed as tuberculosis, viral meningitis, Bell palsy, multiple sclerosis, etc.

It also needs to be differentiated from skin, heart, joint and nervous system diseases caused by many other causes, such as wind damp heat, erythema multiforme, rheumatoid arthritis, etc. Laboratory examination should be used to make differential diagnosis with neurosyphilis and other spirochetes. Pathogen isolation and specific antibody detection have diagnostic significance.

The specific IgM and IgG antibodies in blood and CSF generally reached the peak 4-6 weeks after the onset of the disease, and decreased with the antibiotic treatment about 10 weeks, but we should be alert to false positive and false negative reactions.

matters needing attention

Strengthen the propaganda and education of the disease, pay attention to self-protection when traveling in the field, especially in the forest and mountainous areas, wear long sleeve clothes and trousers, apply insect repellent on the clothes to prevent tick invasion, and it is better not to sleep in the open. Strengthen personal protection and control ticks and rodents.