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Published on: June 23, 2022
Tick-borne encephalitis presenting as fever without localising signs--a case series
Patrick Michael Meyer1, Hanspeter Zimmermann, Philippe Goetschel
1Department of Paediatrics, Triemli Hospital Zurich, Birmensdorferstrasse 497, 8063 Zurich, Switzerland. patrick_meyer@gmx.net
Introduction:
Tick-borne encephalitis (TBE) presents without neurologic symptoms in 19% in children less than 16 years in Switzerland (2000-2008). In these cases, fever can be the only leading manifestation.
Case Series:
We report on four hospitalised children who had TBE and presented as fever without localising signs (FWLS) between 2000 and 2008 in an endemic area in Switzerland.
Conclusion:
TBE infection has to be considered in the differential diagnosis of FWLS in endemic areas. Foremost, FWLS characterised by a biphasic fever course and accompanied by headache in patients in a reduced general condition. Affirming that in patients presenting as FWLS also cases of TBE are contained, this disease is underreported.
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Types of Fever
Here are the different types of fever: