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Japanese encephalitis in Western Europe
Michael Reppel1, Luise Landreh, Stefan Gottschalk
1Dept. of Cardiology, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany. michael.reppel@uk-sh.de
Japanese encephalitis, a significant cause of viral encephalitis in Asia, is rarely seen in Western Europe. This case report details a German woman
Area of Science:
- Neurology
- Infectious Diseases
- Travel Medicine
Background:
- Japanese encephalitis (JE) is a major cause of viral encephalitis in Asia.
- JE has historically not been reported in Western Europe.
- Recent travel to endemic regions poses a risk for acquiring JE.
Observation:
- A 59-year-old German woman presented with neurological symptoms.
- Symptoms appeared 8 days after returning from a trip to northern China.
- Clinical presentation was typical for encephalitis.
Findings:
- Neurological symptoms and clinical presentation were consistent with JE.
- Pathological findings were analyzed from blood, cerebrospinal fluid, MRI, and EEG.
- Detailed clinical course and diagnostic findings are summarized.
Implications:
- This case highlights the potential for JE to be diagnosed in non-endemic regions like Western Europe.
- It underscores the importance of considering travel history in patients with encephalitis symptoms.
- Further surveillance and awareness may be needed in regions bordering endemic areas.
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