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A Journal on Internal Medicine

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Panminerva Medica 2001 December;43(4):295-304

language: English

Human infections tick-transmitted

Alciati S., Belligni E., Del Colle S., Pugliese A.

From the Department of Medical and Surgical Sciences Section of Infectious Diseases Ospedale “Amedeo di Savoia” University of Turin, Turin, Italy


In ­this mono­graph are ana­lysed the prin­ci­pal infec­tions trans­mit­ted by ticks and par­tic­u­lar­ly ­those inter­est­ing Europe and North America. Besides the ­main spe­cies of ­these arthro­pods are ­described in con­sid­er­a­tion of ­their char­ac­ter­is­tics and geo­graph­ic dif­fu­sion. In par­tic­u­lar the infec­tions ­caused by Borrelia ­genus and tick ­born enceph­al­itis ­virus are treat­ed ­more exhaus­tive­ly in con­sid­er­a­tion of ­their poten­tial sever­ity and ­because the diag­no­sis of ­these infec­tions is some­times dif­fi­cult. However ­also the ­main rick­ett­sial infec­tions tras­mit­ted by ­ticks are report­ed togeth­er the hemor­rag­ic ­fevers trans­mit­ted by ­such arthro­pods. In par­tic­u­lar it is exhaus­tive­ly ana­lysed the Mediterranean ­tick ­fever in con­sid­er­a­tion of its pres­ence in ­some ­regions of Italy and of the ­wrong opin­ion of con­sid­er­ing ­this pathol­o­gy not ­very ­severe. Lastly has ­been includ­ed a treat­ment ­about ­some emer­gent infec­tions trans­mit­ted by ­ticks, ­like as the ehr­li­chi­o­sis and bab­e­sia­sis, but ­also the men­tion of tula­rae­mia ­that can be con­sid­ered a re-emer­gent infec­tion, ­also in con­sid­er­a­tion of the epi­dem­ic ­focus now ­present in Kossovo. The ­above-men­tioned pathol­o­gies are ana­lysed ­also as ­regards the labor­a­to­ry diag­no­sis (­direct and ser­o­log­ic meth­ods), the ther­a­peu­tic treat­ment and the pro­phi­lax­is, ­both direct­ed ­against the arthro­pods vec­tors and ­that of indi­vid­u­al ­type, employ­ing ­also ­some vac­cines, ­when dis­pos­able.

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