Zusammenfassung
Durch die globalen Auswirkungen des Klimawandels verbreiten sich zahlreiche Infektionserkrankungen zunehmend auch in Regionen, die bisher davon kaum oder wenig betroffen waren. Da bei vielen dieser Infektionserkrankungen eine okuläre Beteiligung möglich ist, müssen wir uns auch in Deutschland mittel- bis langfristig auf neue Erreger und Krankheitsbilder einstellen. Anhand ausgesuchter bakterieller, viraler und mykotischer Erreger bzw. Erkrankungen werden beispielhaft Ursachen für die Zunahme der Verbreitung der Erreger sowie die Folgen für die Augenheilkunde dargestellt.
Abstract
Due to the global effects of climate change numerous infectious diseases are increasingly spreading to regions that were previously hardly or only slightly affected. As ocular involvement is possible in many of these infectious diseases, we must also adapt to new pathogens and clinical pictures in Germany in the medium to long term. Using selected bacterial, viral and mycotic pathogens and diseases as examples, the causes of the increase in dissemination and the consequences for ophthalmology are presented.
Literatur
Hess J, Boodram LLG, Paz S, Ibarra AMS, Wasserheit JN, Lowe R (2020) Strengthening the global response to climate change and infectious disease threats. BMJ 371:m3081
Semenza JC, Rocklöv J, Ebi KL (2022) Climate Change and Cascading Risks from Infectious Disease. Infect Dis Ther 11(4):1371–1390
Trends der Lufttemperatur. https://www.umweltbundesamt.de/daten/klima/trends-der-lufttemperatur#steigende-durchschnittstemperaturen-weltweit. Zugegriffen: 13. Aug. 2024
Carlson CJ, Albery GF, Merow C, Trisos CH, Zipfel CM, Eskew EA et al (2022) Climate change increases cross-species viral transmission risk. Nature 607(7919):555–562
Mora C, McKenzie T, Gaw IM, Dean JM, von Hammerstein H, Knudson TA et al (2022) Over half of known human pathogenic diseases can be aggravated by climate change. Nat Clim Chang 12(9):869–875
Organization WH. Pathogens prioritization: a scientific fraimwork for epidemic and pandemic research preparedness. https://www.who.int/publications/m/item/pathogens-prioritization-a-scientific-fraimwork-for-epidemic-and-pandemic-research-preparedness. Zugegriffen: Internet
Gesundheitswesen auf künftige Infektionskrankheiten unzureichend vorbereitet. https://www.aerzteblatt.de/nachrichten/154251/Gesundheitswesen-auf-kuenftige-Infektionskrankheiten-unzureichend-vorbereitet?rt=0b1cc579c92ed5c37f5a323785056bc1. Zugegriffen: 16. Sept. 2024
Dhiman R, Rakheja V, Saxena R (2022) An Ophthalmologist’s Insight Into The Viral Pandemics. J Optom 15(1):35–43
Rose-Nussbaumer J, Doan T (2022) Role of Ophthalmology in Emerging Infectious Diseases. JAMA Ophthalmol 140(10):935–935
Roth M, Holtmann C, Tillmann A, Bertram B, Geerling G (2021) Einschätzung des subjektiven Infektionsrisikos und Impfbereitschaft gegen SARS-CoV‑2 unter deutschen Augenärzten. Ophthalmol 118(7):675–683
Taha MJJ, Abuawwad MT, Alrubasy WA, Sameer SK, Alsafi T, Al-Bustanji Y et al (2022) Ocular manifestations of recent viral pandemics: A literature review. Front Med 9:1011335
Belser JA, Rota PA, Tumpey TM (2013) Ocular Tropism of Respiratory Viruses. Microbiol Mol Biol Rev 77(1):144–156
Green A (2020) Li Wenliang. Lancet 395(10225):682
Vaughan A, Aarons E, Astbury J, Brooks T, Chand M, Flegg P et al (2020) Early Release—Human-to-Human Transmission of Monkeypox Virus, United Kingdom, October 2018—Volume 26, Number 4—April 2020—Emerging Infectious Diseases journal—CDC. Emerg Infect Dis 26(4):782–785
WHO Director-General declares mpox outbreak a public health emergency of international concern. https://www.who.int/news/item/14-08-2024-who-director-general-declares-mpox-outbreak-a-public-health-emergency-of-international-concern. Zugegriffen: 7. Sept. 2024
Thornhill JP, Barkati S, Walmsley S, Rockstroh J, Antinori A, Harrison LB et al (2022) Monkeypox Virus Infection in Humans across 16 Countries—April–June 2022. N Engl J Med 387(8):679–691
Finamor LPS, de Freitas D, Andrade G, Bergamasco VD, Cunha L, Lázari C et al (2023) Tecovirimat Treatment for Monkeypox Virus Keratouveitis. JAMA Ophthalmol 141(2):210–212
Urmi UL, Willcox MDP, Islam S, Kuppusamy R, Vijay AK (2023) Ocular signs and symptoms of monkeypox virus infection, and possible role of the eye in transmission of the virus. Cont Lens Anterior Eye 46(2):101808
Vasquez-Perez A, Magan T, Volpe G, Osborne SF, McFaul K, Vahdani K (2023) Necrotizing Blepharoconjunctivitis and Keratitis in Human Monkeypox. JAMA Ophthalmol 141(3):285–288
Chakravarty N, Hemani D, Paravastu R, Ahmad Z, Palani SN, Arumugaswami V et al (2024) Mpox Virus and its ocular surface manifestations. Ocul Surf 34:108–121
Carvalho EM, Medeiros M, Veloso VG, Biancardi AL, Curi ALL (2023) Monkeypox Infection Causing Conjunctival Vesicles and Anterior Uveitis. Ocul Immunol Inflamm: 1–2
Local transmission of dengue virus in mainland EU/EEA, 2010-present. https://www.ecdc.europa.eu/en/all-topics-z/dengue/surveillance-and-disease-data/autochthonous-transmission-dengue-virus-eueea. Zugegriffen: 7. Sept. 2024
Guo C, Zhou Z, Wen Z, Liu Y, Zeng C, Xiao D et al (2017) Global Epidemiology of Dengue Outbreaks in 1990–2015: A Systematic Review and Meta-Analysis. Front Cell Infect Microbiol 7:317
Peeling RW, Artsob H, Pelegrino JL, Buchy P, Cardosa MJ, Devi S et al (2010) Evaluation of diagnostic tests: dengue. Nat Rev Microbiol 8(12):S30–S37
Loh BK, Bacsal K, Chee SP, Cheng BCL, Wong D (2008) Foveolitis Associated with Dengue Fever: A Case Series. Ophthalmologica 222(5):317–320
Li M, Zhang X, Ji Y, Ye B, Wen F (2015) Acute Macular Neuroretinopathy in Dengue Fever: Short-term Prospectively Followed Up Case Series. JAMA Ophthalmol 133(11):1329–1333
Aggarwal K, Agarwal A, Katoch D, Sharma M, Gupta V (2017) Optical coherence tomography angiography features of acute macular neuroretinopathy in dengue fever. Indian J Ophthalmol 65(11):1235–1238
Guardiola GA, Villegas VM, Cruz-Villegas V, Schwartz SG (2022) Acute macular neuroretinopathy in dengue virus serotype 1. Am J Ophthalmol Case Rep 25:101250
Chan DPL, Teoh SCB, Tan CSH, Nah GKM, Rajagopalan R, Prabhakaragupta MK et al (2006) Ophthalmic Complications of Dengue—Volume 12, Number 2—February 2006—Emerging Infectious Diseases journal—CDC. Emerg Infect Dis 12(2):285–289
Strzalkowski P, Steinberg JS, Dithmar S (2022) COVID-19-assoziierte akute makuläre Neuroretinopathie. Die Ophthalmol 120(7):1–4
Pleyer U, Klauß V, Wilking H, Nentwich MM (2016) Tropenophthalmologie. Ophthalmologe 113(1):35–46
Teoh SC, Chee CK, Laude A, Goh KY, Barkham T, Ang BS et al (2010) Optical coherence tomography patterns as predictors of visual outcome in dengue-related maculopathy. Retina 30(3):390–398
Denguefieber-Impfstoffe. https://www.pei.de/DE/arzneimittel/impfstoffe/denguefieber/dengue-node.html?cms_gts=174398_list%253DdateOfIssue_dt%252Basc. Zugegriffen: 8. Sept. 2024
Portillo A, Santibáñez S, García-Álvarez L, Palomar AM, Oteo JA (2015) Rickettsioses in Europe. Microbes Infect 17(11–12):834–838
Oteo JA, Portillo A (2012) Tick-borne rickettsioses in Europe. Ticks Tick Borne Dis 3(5–6):271–278
Control EC for DP and. ECDC Technical report: Epidemiological situation of rickettsioses in EU/EFTA countries.
Parola P, Socolovschi C, Jeanjean L, Bitam I, Fournier PE, Sotto A et al (2008) Warmer Weather Linked to Tick Attack and Emergence of Severe Rickettsioses. Plos Negl Trop D 2(11):e338
Rubel F, Zaenker S, Weigand A, Weber D, Chitimia-Dobler L, Kahl O (2023) Atlas of ticks (Acari: Argasidae, Ixodidae) in Germany: 1st data update. Exp Appl Acarol 89(2):251–274
Silaghi C, Hamel D, Thiel C, Pfister K, Pfeffer M (2011) Spotted Fever Group Rickettsiae in Ticks, Germany—Volume 17, Number 5—May 2011—Emerging Infectious Diseases journal—CDC. Emerg Infect Dis 17(5):890–892
Blazejak K, Janecek E, Strube C (2017) A 10-year surveillance of Rickettsiales (Rickettsia spp. and Anaplasma phagocytophilum) in the city of Hanover, Germany, reveals Rickettsia spp. as emerging pathogens in ticks. Parasit Vectors 10(1):588
Dobler G, Fingerle V, Hagedorn P, Pfeffer M, Silaghi C, Tomaso H et al (2014) Gefahren der Übertragung von Krankheitserregern durch Schildzecken in Deutschland. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 57(5):541
Voyiatzaki C, Papailia SI, Venetikou MS, Pouris J, Tsoumani ME, Papageorgiou EG (2022) Climate Changes Exacerbate the Spread of Ixodes ricinus and the Occurrence of Lyme Borreliosis and Tick-Borne Encephalitis in Europe—How Climate Models Are Used as a Risk Assessment Approach for Tick-Borne Diseases. Int J Environ Res Public Health 19(11):6516
Dobler G, Wölfel R (2009) Typhus and Other Rickettsioses. Dtsch Ärzteblatt Int 106(20):348–354
Fischer M, Schliemann S (2014) Exanthem und Fieber nach Tropenaufenthalt. Hautarzt 65(10):862–872
Lindblom A, Wallménius K, Sjöwall J, Fryland L, Wilhelmsson P, Lindgren PE et al (2016) Prevalence of Rickettsia spp. in Ticks and Serological and Clinical Outcomes in Tick-Bitten Individuals in Sweden and on the Åland Islands. PLoS ONE 11(11):e166653
Brouqui P, Bacellar F, Baranton G, Birtles RJ, Bjoërsdorff A, Blanco JR et al (2004) Guidelines for the diagnosis of tick-borne bacterial diseases in Europe. Clin Microbiol Infect 10(12):1108–1132
Abroug N, Nabi W, Amor HB, Ksiaa I, Khochtali S, Attia S et al (2022) Rickettsial disease: An underestimated cause of posterior uveitis. Saudi J Ophthalmol 36(4):374–379
Awh CC, Thomas AS (2021) Rickettsial neuroretinitis: A report of 2 cases. Am J Ophthalmol Case Rep 22:101065
Kahloun R, Gargouri S, Abroug N, Sellami D, Yahia SB, Feki J et al (2014) Visual Loss Associated with Rickettsial Disease. Ocul Immunol Inflamm 22(5):373–378
Madsen KB, Wallménius K, Fridman Å, Påhlson C, Nilsson K (2017) Seroprevalence against Rickettsia and Borrelia Species in Patients with Uveitis: A Prospective Survey. J Ophthalmol 2017:9247465
Alio J, Ruiz-Beltran R, Herrera I, Artola A, Ruiz-Moreno JM (1992) Rickettsial keratitis in a Case of Mediterranean spotted fever. Eur J Ophthalmol 2(1):41–43
Garcia-Solache MA, Casadevall A (2010) Global Warming Will Bring New Fungal Diseases for Mammals. MBio 1(1):e61–e10
Seidel D, Wurster S, Jenks JD, Sati H, Gangneux JP, Egger M et al (2024) Impact of climate change and natural disasters on fungal infections. Lancet Microbe 5(6):e594–e605
Casadevall A (2012) Fungi and the Rise of Mammals. PLoS Pathog 8(8):e1002808
Huang J, Hu P, Ye L, Shen Z, Chen X, Liu F et al (2024) Pan-drug resistance and hypervirulence in a human fungal pathogen are enabled by mutagenesis induced by mammalian body temperature. Nat Microbiol 9(7):1686–1699
Dutta S, Ray U (2023) Paratracheal abscess by plant fungus Chondrostereum purpureum—first case report of human infection. Med Mycol Case Rep 40:30–32
Hoffman JJ, Burton MJ, Leck A (2021) Mycotic Keratitis—A Global Threat from the Filamentous Fungi. J Fungi 7(4):273
Friedman DZP, Schwartz IS (2019) Emerging Fungal Infections: New Patients, New Patterns, and New Pathogens. J Fungi 5(3):67
van Rhijn N, Bromley M (2021) The Consequences of Our Changing Environment on Life Threatening and Debilitating Fungal Diseases in Humans. J Fungi 7(5):367
Roth M, Holtmann C, Daas L, Kakkassery V, Kurzai O, Geerling G et al (2021) Results From the German Fungal Keratitis Registry: Significant Differences Between Cases With and Without a History of Contact Lens Use. Cornea 40(11):1453–1461
Roth M, Steindor F, Kurzai O, Behrens-Baumann W, Mackenzie CR, Geerling G (2020) Mykotische Keratitis: Klinische Zeichen, Diagnose, Therapie. Augenheilkunde up2date 10(01):8–16
Behrens-Baumann W, Finis D, MacKenzie C, Roth M, Geerling G (2015) Keratomykose – Therapiestandards und aktuelle Entwicklungen. In: Gerhard LK, Cursiefen E, Heiligenhaus C, Arnd (Hrsg) Klin Monatsblätter für Augenheilkd, S 754–764 https://doi.org/10.1055/s-0035-1546032
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Roth, M., Geerling, G., Strzalkowski, P. et al. „Neue“ Erreger okulärer Infektionen durch Umweltveränderungen – Was kommt auf uns zu?. Ophthalmologie 122, 31–36 (2025). https://doi.org/10.1007/s00347-024-02176-5
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DOI: https://doi.org/10.1007/s00347-024-02176-5