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蜱传脑炎——现状综述

Tick-Borne Encephalitis-Review of the Current Status.

作者信息

Kwasnik Malgorzata, Rola Jerzy, Rozek Wojciech

机构信息

Department of Virology, National Veterinary Research Institute, Al. Partyzantow 57, 24-100 Pulawy, Poland.

出版信息

J Clin Med. 2023 Oct 18;12(20):6603. doi: 10.3390/jcm12206603.

Abstract

The tick-borne encephalitis virus (TBEV) is the arboviral etiological agent of tick-borne encephalitis (TBE), considered to be one of the most important tick-borne viral diseases in Europe and Asia. In recent years, an increase in the incidence of TBE as well as an increasing geographical range of the disease have been noted. Despite the COVID-19 pandemic and the imposition of restrictions that it necessitated, the incidence of TBE is rising in more than half of the European countries analyzed in recent studies. The virus is transmitted between ticks, animals, and humans. It seems that ticks and small mammals play a role in maintaining TBEV in nature. The disease can also affect dogs, horses, cattle, and small ruminants. Humans are incidental hosts, infected through the bite of an infected tick or by the alimentary route, through the consumption of unpasteurized milk or milk products from TBEV-infected animals. TBEV infections in humans may be asymptomatic, but the symptoms can range from mild flu-like to severe neurological. In Europe, cases of TBE are reported every year. While there is currently no effective treatment for TBE, immunization and protection against tick bites are critical in preventing this disease.

摘要

蜱传脑炎病毒(TBEV)是蜱传脑炎(TBE)的虫媒病毒病原体,被认为是欧洲和亚洲最重要的蜱传病毒性疾病之一。近年来,已注意到TBE发病率上升以及该疾病的地理范围不断扩大。尽管出现了新冠疫情及其带来的限制措施,但在最近研究分析的一半以上欧洲国家中,TBE的发病率仍在上升。该病毒在蜱、动物和人类之间传播。蜱和小型哺乳动物似乎在自然界中维持TBEV方面发挥作用。该疾病也可影响狗、马、牛和小型反刍动物。人类是偶然宿主,通过被感染蜱叮咬或经消化道途径,即食用来自感染TBEV动物的未巴氏杀菌牛奶或奶制品而感染。人类感染TBEV可能无症状,但症状范围可从轻微流感样症状到严重神经症状。在欧洲,每年都有TBE病例报告。虽然目前尚无TBE的有效治疗方法,但免疫接种和预防蜱叮咬对于预防该疾病至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/66dd/10607749/9ab167a581bf/jcm-12-06603-g002.jpg

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