{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:21:28Z","timestamp":1777890088596,"version":"3.51.4"},"reference-count":28,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2011,8,18]],"date-time":"2011-08-18T00:00:00Z","timestamp":1313625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zoonoses and Public Health"],"published-print":{"date-parts":[[2012,5]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>In Central Europe and large parts of Asia, tick\u2010borne\u2010encephalitis (TBE) and Lyme borreliosis caused by the spirochetal bacterium of the genus <jats:italic>Borrelia<\/jats:italic> are among the most common diseases transmitted by the bite of a tick. When in regions with overlapping TBE virus and <jats:italic>Borrelia<\/jats:italic> 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 <jats:italic>Borrelia<\/jats:italic>. For this reason, a comprehensive diagnostic work\u2010up aimed at detecting co\u2010infection 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\u2010infection with TBE virus and <jats:italic>Borrelia<\/jats:italic> and other potential multiple infections.<\/jats:p>","DOI":"10.1111\/j.1863-2378.2011.01435.x","type":"journal-article","created":{"date-parts":[[2011,8,18]],"date-time":"2011-08-18T10:41:24Z","timestamp":1313664084000},"page":"176-180","source":"Crossref","is-referenced-by-count":10,"title":["Following a Tick Bite: Double Infections by Tick\u2010Borne Encephalitis Virus and the Spirochete <i>Borrelia<\/i> and Other Potential Multiple Infections"],"prefix":"10.1111","volume":"59","author":[{"given":"M.","family":"Br\u00f6ker","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2011,8,18]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"103","article-title":"Doppelinfektion Borrelia burgdorferi\u2013 TBE virus","volume":"60","author":"Abshagen R.","year":"1992","journal-title":"Kinder\u00e4rztl. 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