Borreliose im Kindes- und Jugendalter

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• 作者：A.E. Sonnleitner ; A. Trobisch ; D.S. Klobassa…
• 关键词：Lyme ; Krankheit ; Neuroborreliose ; Erythema migrans ; Fazialisparese ; Durch Zecken 眉bertragbare Erkrankungen ; Lyme disease ; Neuroborreliosis ; Erythema migrans ; Facial palsy ; Tick ; borne diseases
• 刊名：Monatsschrift Kinderheilkunde
• 出版年：2015
• 出版时间：May 2015
• 年：2015
• 卷：163
• 期：5
• 页码：418-426
• 全文大小：632 KB
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• 作者单位：A.E. Sonnleitner (1)
  A. Trobisch (1)
  D.S. Klobassa (1)
  Prof. Dr. W. Zenz (1)
  
  1. Klinische Abteilung f眉r Allgemeine P盲diatrie, Medizinische Universit盲t Graz, Auenbruggerplatz 34/2, 8036, Graz, 脰sterreich
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Pediatrics
  General Practice and Family Medicine
  
• 出版者：Springer Berlin / Heidelberg
• ISSN：1433-0474

文摘

Borreliosis is the most common tick-borne disease with the highest risk of infection in children between 5 and 14 years old. It is defined as an inflammatory multisystemic disease. A distinction is made between the early localized form (erythema migrans), the early generalized form (e.g. neuroborreliosis and lymphocytoma) and later forms (e.g. Lyme arthritis). It is well-known that borreliosis is diagnosed too frequently and one of the main reasons is the relatively high prevalence of anti-Borrelia antibodies in healthy children and adolescents. Erythema migrans is a clinical diagnosis and no further serological investigations are necessary. A clear recommendation for lumbar puncture exists once clinical symptoms of meningitis (with or without facial palsy) occur. In cases with isolated peripheral facial palsy, German expert committees recommend a lumbar puncture but American guidelines do not. This article also summarizes the currently valid recommendations for treatment of borreliosis with an emphasis on the European guidelines.