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Lymphozytäre Choriomeningitis

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Zusammenfassung

Das Virus der lymphozytären Chroriomeningitis (LCMV) ist weltweit verbreitet, infiziert verschiedene Spezies von Wildmäusen und persistiert in diesen. Regional ist die Durchseuchung der Mausspezies unterschiedlich hoch. Die Viren werden im Urin der Tiere ausgeschieden und können auf andere Nagetierspezies (Goldhamster, Renn-/Springmäuse, Chincilla) übertragen werden, wenn diese in der Käfighaltung Kontakt zueinander haben. LCMV kann zoonotisch auf Menschen übertragen werden, die Kontakt mit infizierten Mäusen oder Nagetieren bzw. mit deren Exkrementen (Käfigeinstreu) haben. Die Infektionen verlaufen im Menschen meist ohne oder mit grippeähnlichen Symptomen. Werden Schwangere innerhalb infiziert, so kann die Infektion intrauterin auf deie Feten übertragen werden und eine Embryopathie (Mikroenzephalie) verursachen, die mit Spätfolgen (gesitige Entwicklungsstörungen) verbunden sein kann. Es existiert keine Impfung oder Therapieoption. Eine diagnostische Testung des Infektionsstatus wird nur bei Schwangeren empfohlen, die sehr häufig Kontakt mit potentiell infizierten Nagetieren bzw. deren Exkrementen haben. Die zoonotische Übertragung kann durch entsprechende Hygienemaßnahmen verhindert werden. Akute LCMV-Infektionen bei Schwangeren müssen in Deutschland als Rarität angesehen werden.

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Correspondence to Susanne Modrow .

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Modrow, S. (2014). Lymphozytäre Choriomeningitis. In: S2k-Leitlinie - Labordiagnostik schwangerschaftsrelevanter Virusinfektionen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-43481-9_15

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  • DOI: https://doi.org/10.1007/978-3-662-43481-9_15

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