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SHR Neuro Krebs Kardio Lipid Stoffw Microb

Sonnleitner, AE; Trobisch, A; Klobassa, DS; Zenz, W.
Borreliosis in childhood and adolescence
MONATSSCHR KINDERH. 2015; 163(5): 418-426. Doi: 10.1007/s00112-014-3251-1
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Führende Autor*innen der Med Uni Graz
Sonnleitner Astrid
Zenz Werner
Co-Autor*innen der Med Uni Graz
Kohlfürst Daniela
Trobisch Andreas

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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.

Find related publications in this database (Keywords)
Lyme disease
Erythema migrans
Facial palsy
Tick-borne diseases
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