All Posts Tagged With: "TBE"

Full article: https://www.thieme-connect.com/ejournals/abstract/neuropediatrics/doi/10.1055/s-2004-819478

Excerpt:

Case report: A 6-week-old girl developed fever, irritability, meningeal signs with bulging fontanelle and a partial, secondary-generalized seizure. CSF yielded pleocytosis (172 lymphocytes, 81 mono-cytes/ul) and elevated protein (0,83g/l), cranial MRI showed encephalitic signs in both frontal and parietal lobes. Because of a tick bite in an endemic area 10 days before admission, ELISA-IgG and IgM to TBE-virus were sought and found in serum, whereas Borrelia burgdorferi serology, Herpes-simplex virus PCR and bacterial CSF-culture were negative. Phenobarbitone was administered because of repetitive seizures, while the EEG showed series of sharp waves in the right parieto-temporal region. She consecutively became seizure free. At first follow-up after 6 weeks she demonstrated pathologic neurological signs with increased muscular tone, hyperreflexia, fidgety movements, and EEG showed slow waves in the right parieto-temporal region.

Increased tick-borne encephalitis (TBE) cases have been reported in central Europe. To investigate temporal trends in the altitude at which TBE cases occur in Slovakia, we analyzed the number of TBE cases during 1961–2004. Since 1980, TBE cases moved from lowlands to submountainous areas, most likely because of rising temperature.

If the observed trend continues, the number of TBE foci in the mountain areas >500 m will probably increase in future decades. Whether this would affect the total number of TBE cases is a matter for discussion. Higher areas are less densely inhabited by local residents but often visited for leisure activities and recreation. The possibility of TBE emergence should be therefore considered by the management of recreation facilities and tourist resorts in areas with habitats suitable for TBE vectors