title: [The difficulties of clinical diagnosis of mixed-infection of tick-born encephalitis and Lyme disease].
abstract: The authors report 49 cases of mixed infection (Lyme disease + tick-born encephalitis). All the patients were citizens of the Russian North-West. Clinically, there were symptoms of Lyme disease (erythema) and tick-born encephalitis (serous meningitis, neuritides of the cranial and peripheral nerves). In patients with mixed infection in the presence of erythema symptoms of tick-born encephalitis were less evident. The diagnosis of Lyme disease erythema-free form in combination with tick-born encephalitis may be made only by dynamic serological tests for both of these infections.
authors.affiliation: Voenno-meditsinskaia akademiia, Sankt-Peterburg.
authors.forename: Iu V
authors.initials: IuV
authors.lastname: Lobzin
authors.forename: S S
authors.initials: SS
authors.lastname: Kozlov
authors.forename: V S
authors.initials: VS
authors.lastname: Antonov
authors.forename: V F
authors.initials: VF
authors.lastname: Krumgol'ts
authors.forename: V V
authors.initials: VV
authors.lastname: Rusal'chuk
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D004675:Encephalitis, Tick-Borne / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis*
vernacular_title: Trudnosti klinicheskoĭ diagnostiki mikstinfektsii kleshchevogo entsefalita i bolezni Laĭma.