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Sunday, August 28, 2011

[AlternativeAnswers] Following a Tick Bite: Double Infections by Tick-Borne Encephalitis Virus and t


Following a Tick Bite: Double Infections by Tick-Borne Encephalitis
Virus and the Spirochete Borrelia and Other Potential Multiple Infections.

Bröker M

Zoonoses Public Health 2011 08 18

In Central Europe and large parts of Asia, tick-borne-encephalitis (TBE)
and Lyme borreliosis caused by the spirochetal bacterium of the genus
Borrelia are among the most common diseases transmitted by the bite of a
tick. When in regions with overlapping TBE virus and Borrelia
endemicity, a tick bite causes the victim to become ill, it is important
that appropriate serological and other laboratory investigations form
part of the differential diagnosis. Account must always be taken of the
fact that a tick bite may be followed by a double infection with the TBE
virus and Borrelia. For this reason, a comprehensive diagnostic work-up
aimed at detecting co-infection by both pathogens, even when the tick
bite occurs in an endemic region for both pathogens but the initial
clinical symptoms suggest an infection with only one of the two
pathogens. The present article discusses a number of published cases of
a co-infection with TBE virus and Borrelia and other potential multiple

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