jofinЖурнал инфектологииJournal Infectology2072-6732IPO “АIDSSPbR"10.22625/2072-6732-2024-16-3-17-23jofin-1658Research ArticleОбзорыReviewДиагностика хронического Лайм-боррелиоза, протекающего с поражением нервной системыDiagnosis of chronic lyme borreliosis involving the nervous systemБогдановаТ. В.BogdanovaT. V.

Богданова Татьяна Владимировна – студентка

тел.: 8(831)422-21-17

Нижний Новгород 

 Nizhny Novgorod 

tbgdnv@yandex.ruРюминА. М.RjuminA. M.

Рюмин Александр Михайлович – доцент кафедры инфекционных болезней, к.м.н.

тел.: 8(831)422-21-17

Нижний Новгород  

 Nizhny Novgorod 

infbol_8@pimunn.ruСоболевскаяО. Л.SobolevskajaO. L.

Соболевская Оксана Львовна – профессор кафедры инфекционных болезней, д.м.н.

тел.: 8(831)422-21-17

Нижний Новгород 

 Nizhny Novgorod 

sol5584@yandex.ruПриволжский исследовательский медицинский университетРоссияPrivolzhsky Research Medical UniversityRussian Federation2024210920241631723Copyright © Богданова Т.В., Рюмин А.М., Соболевская О.Л., 20242024Богданова Т.В., Рюмин А.М., Соболевская О.Л.Bogdanova T.V., Rjumin A.M., Sobolevskaja O.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.niidi.ru/jofin/article/view/1658

Диагностика хронического Лайм-боррелиоза является трудной задачей для клинициста даже при наличии в его распоряжении современной лабораторной и инструментальной базы. Для боррелиоза характерна полисистемность и вариабельность проявлений. В данной статье рассмотрена клиника и диагностика хронического боррелиоза с поражением преимущественно центральной нервной системы. Рассмотрены различные клинические варианты заболевания и доступные методы специфической и неспецифической диагностики. Теоретическая часть работы выполнена по материалам 10 отечественных и 24 зарубежных публикаций, посвященных проблеме хронического нейроборрелиоза.

Diagnosis of chronic Lyme disease is a challange for a clinician, even if there is modern laboratory and instrumental facilities at the hospital. Borreliosis is known for polysystemic and variable clinical picture. This article describes the clinical feachures and diagnosis of chronic borreliosis with central nervous system involvement. Various clinical variants of the disease and available methods of specific and nonspecific diagnosis are listed. The theoretical part of the work was carried out based on materials from 34 publications devoted to the problem of chronic neuroborreliosis. Also we describe the clinical case that illustrates the difficulties of managing this group of patients.

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The authors declare that there are no conflicts of interest present.