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Die Lyme-Borreliose (Eine Übersicht)

  • N. Satz
  • M. Knoblauch
Conference paper
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Part of the Advances in Internal Medicine and Pediatrics / Ergebnisse der Inneren Medizin und Kinderheilkunde book series (KINDERHEILK. NF, volume 59)

Zusammenfassung

Die Lyme-Borreliose wird durch Borrelia burgdorferi (B. burgdorferi) verursacht. Es handelt sich dabei um eine Spirochäte mit einer unterschiedlichen Anzahl von Windungen. Ihre Länge variiert zwischen 10 und 30 µ. Der Durchmesser beträgt 0,18–0,25 µ (Burgdorfer et al. 1982; Barbour et al. 1986). Wie bei allen gramnegativen Bakterien bestehen eine äußere Zellmembran und eine innere zytoplasmatische Membran, die den Protoplasmazylinder umgibt. Die äußere Membran setzt sich aus 46% Proteinen, 51% Lipiden und aus 3% Kohlehydraten zusammen (Coleman et al. 1986). Parallel zur Erregerachse liegen 7–11 Flagellen, die am Endteil des Bakteriums an der inneren Membran inserieren. Sie sind von der äußeren Membran vollständig umhüllt. Morphologisch finden sich Unterschiede zwischen verschiedenen B. burgdorferi-Stämmen. Hovind-Hougen et al. (1986) wiesen in Schweden 3 Stämme nach, die sich in ihrer Länge, im Windungsdurchmesser, in der elektronenmikroskopischen Oberflächenstruktur und in der Flagellenanzahl unterscheiden. Die amerikanischen B. burgdorferi-Stämme sind einheitlicher und differieren von den europäischen durch eine kleinere Flagellenanzahl von meistens 7. Die Spirochäten sind zudem kürzer und ihre Windungsdurchmesser größer.

Key words

Lyme-Borreliose Lyme-Borreliosis Lyme Disease tick borne spirochetosis Erythema-migrans-Krankheit Borrelia burgdorferi Ixodes ricinus 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • N. Satz
  • M. Knoblauch
    • 1
    • 2
  1. 1.KreisspitalMedizinische AbteilungMännedorf-ZürichSwitzerland
  2. 2.Departement für Innere Medizin, Medizinische KlinikUniversitätsspital ZürichSwitzerland

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