Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
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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- Abstract:
- 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
- Neuroborreliosis
- Erythema migrans
- Facial palsy
- Tick-borne diseases