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[Tick-encephalitis after a vacation in Southern Germany].

B L Kessels1, R van Dijl, P H van Keulen

  • 1Afd. Interne Geneeskunde, Ziekenhuis De Baronie, Breda.

Nederlands Tijdschrift Voor Geneeskunde
|September 24, 1999
PubMed
Summary

A man contracted tick-borne encephalitis (TBE) after a tick bite in South Germany. This case marks the first positive TBE serology reported in the Netherlands, highlighting the virus

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Virology

Background:

  • Tick-borne encephalitis (TBE) is a viral infection endemic in Central and Eastern Europe.
  • The flavivirus is transmitted through the bite of infected ticks.
  • Neurological manifestations include meningitis, meningoencephalitis, and meningoradiculomyelitis.

Observation:

  • A 38-year-old male presented with symptoms of meningoencephalitis.
  • The patient reported a recent tick bite sustained during travel in South Germany.
  • A biphasic course of symptoms was noted, consistent with TBE.

Findings:

  • Positive serology confirmed tick-borne encephalitis in the patient.
  • This represents the first documented positive TBE serology at the National Institute for Public Health and Environment in the Netherlands.

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  • While a vaccine exists, it is not typically recommended for tourists.

    • Implications:

    • This case expands the known geographical surveillance of TBE.
    • Highlights the importance of considering TBE in patients with relevant travel history and neurological symptoms.
    • Underscores the need for continued monitoring and awareness of tick-borne diseases in non-endemic regions.