T S van der Werf1, J E Tulleken, J G Zijlstra
1Intensive and Respiratory Care Unit, Department of Internal Medicine, Groningen University Medical Centre, PO Box 3001, 9700 RB Groningen, the Netherlands. t.s.van.der.werf@int.azg.nl
A tick bite in the Netherlands led to a severe neurological illness, meningoencephalitis, despite initial antibiotic treatment. This case highlights the importance of considering tick-borne diseases in endemic areas.
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