Domdey A J, Thomas S M
Biogeografie, Universität Bayreuth, Universitätsstr. 30, 95447, Bayreuth, Deutschland.
BayCEER Bayreuther Zentrum für Ökologie und Umweltforschung, Universität Bayreuth, 95440, Bayreuth, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Feb;120(1):6-14. doi: 10.1007/s00063-024-01206-z. Epub 2024 Nov 18.
Tropical diseases are becoming increasingly important in medical care in Germany due to climate change and the spread of vectors and viruses. The widely distributed Culex mosquitoes in Germany can transmit the West Nile virus, which causes West Nile fever. Severe neuroinvasive disease courses with acute flaccid paralysis, meningitis, and encephalitis are possible. The invasive tiger mosquito (Aedes albopictus) is increasingly establishing itself in Germany and is a potent vector of viruses that have so far occurred mainly in tropical-subtropical areas, including dengue and chikungunya virus. Severe dengue cases can manifest with hemorrhagic dengue fever, shock, or organ involvement. Dengue fever is currently still a travel-related disease in Germany. However, this may change in the context of climate change and increasing vector populations. Enhanced training and continuing education programs, as well as an expansion of diagnostic infrastructure and networking of health authorities and mosquito control, are crucial for optimal patient care.
由于气候变化以及病媒和病毒的传播，热带疾病在德国医疗保健中的重要性日益凸显。德国广泛分布的库蚊能够传播导致西尼罗河热的西尼罗河病毒。可能会出现伴有急性弛缓性麻痹、脑膜炎和脑炎的严重神经侵袭性病程。入侵性白纹伊蚊在德国越来越多地立足，它是迄今为止主要发生在热带亚热带地区的病毒的有力传播媒介，包括登革热病毒和基孔肯雅病毒。严重登革热病例可能表现为出血性登革热、休克或器官受累。目前在德国，登革热仍是一种与旅行相关的疾病。然而，在气候变化和病媒种群增加的背景下，这种情况可能会改变。加强培训和继续教育项目，以及扩大诊断基础设施以及卫生当局与蚊虫控制部门的联网，对于实现最佳患者护理至关重要。
