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Komplikationen bei Zeckenstichen: Ehrlichiose und Borreliose

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Fortschritte der praktischen Dermatologie und Venerologie

Part of the book series: Fortschritte der praktischen Dermatologie und Venerologie ((DERMATOLOGIE,volume 18))

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Zusammenfassung

Zecken können weltweit zahlreiche Krankheitserreger auf den Menschen übertragen (Tabelle 1.) In Mitteleuropa kommt insbesondere dem Holzbock (Ixodes ricinus) Bedeutung als Vektor zu. Er überträgt vor allem die Spirochäte Borrelia burgdorferi sensu lato (Bb), den Auslöser der Lyme-Borreliose (LB), verschiedene Anaplasma- und Ehrlichien-Spezies (Auslöser der Ehrlichiose) sowie bestimmte Flaviviren als Auslöser der Frühsommermeningoenzephalitis (FSME). Diese drei Infektionskrankheiten unterscheiden sich deutlich hinsichtlich klinischem Bild, Häufigkeit, Schweregrad, Verlauf sowie Möglichkeiten der Behandlung und Prophylaxe. Die LB ist die häufigste zeckenübertragene Krankheit. In den USA werden jährlich mehr als 17.000 Fälle gemeldet, die Erkrankungszahlen haben über die Jahre laufend zugenommen. Die höchste Inzidenz wird von Connecticut berichtet (110/100.000 Einwohner und Jahr). In Europa kann von einer durchschnittlichen Inzidenz von 300/100.000 Einwohnern und Jahr ausgegangen werden [23].

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Authors
  1. Robert R. Müllegger
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  2. Andrea Rieger
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  3. Wolfgang Weger
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Editors and Affiliations

  1. Klinik und Poliklinik für Dermatologie und Allergologie, Ludwig-Maximilians-Universität München, Frauenlobstraße 9-11, D-80337, München, Germany

    Gerd Plewig (Prof. Dr. med. Dr. h.c.) & Jörg Prinz (Prof. Dr. med.) (Prof. Dr. med. Dr. h.c.) &  (Prof. Dr. med.)

  2. Kongressbüro Frau Gertrud Hammel, Germany

    Gerd Plewig (Prof. Dr. med. Dr. h.c.) & Jörg Prinz (Prof. Dr. med.) (Prof. Dr. med. Dr. h.c.) &  (Prof. Dr. med.)

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Müllegger, R.R., Rieger, A., Weger, W. (2003). Komplikationen bei Zeckenstichen: Ehrlichiose und Borreliose. In: Plewig, G., Prinz, J. (eds) Fortschritte der praktischen Dermatologie und Venerologie. Fortschritte der praktischen Dermatologie und Venerologie, vol 18. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55661-6_15

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  • DOI: https://doi.org/10.1007/978-3-642-55661-6_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-43948-6

  • Online ISBN: 978-3-642-55661-6

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