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A Model for Epilepsy of Infectious Etiology using Theiler's Murine Encephalomyelitis Virus
Published on: June 23, 2022
[Meningoencephalitis caused by Toscana virus in Czech travelers returning from the Mediterranean]
H Zelená1, R Kumštarová, J Skárek
1Institute of Public Health in Ostrava, Czech Republic,
Abstract:
Presented are case studies of 3 patients with aseptic meninogencephalitis occurring after returning from the Mediterranean tourist regions. None of the infectious agents common in aseptic neuroinfections in the Czech Republic was detected in the patients. Serological tests showed that in each case, the illness was caused by Toscana virus, a phlebovirus belonging to the family Bunyaviridae. The virus is transmitted by tiny biting insects of the genus Phlebotomus commonly present in the Mediterranean area. The course of the disease was mild to moderate and all the patients recovered without sequelae. These case reports document the fact that this arbovirus should be considered in the differential diagnosis of patients with aseptic neuroinfections returning from endemic areas of this virus.
Insights
Three patients returning from the Mediterranean developed aseptic meningoencephalitis. Toscana virus, transmitted by sandflies, was identified as the cause, highlighting its importance in neuroinfection differential diagnosis.
Area of Science:
- Neurology
- Infectious Diseases
- Virology
Background:
- Aseptic meningoencephalitis is a significant neurological concern.
- Travelers returning from endemic regions may present with unusual infections.
Observation:
- Three patients returning from Mediterranean tourist areas developed aseptic meningoencephalitis.
- Standard neuroinfection pathogens in the Czech Republic were not detected.
Findings:
- Serological tests confirmed Toscana virus (a phlebovirus, Bunyaviridae family) as the causative agent in all three cases.
- Toscana virus is transmitted by Phlebotomus sandflies prevalent in the Mediterranean.
Implications:
- Toscana virus should be considered in the differential diagnosis of aseptic neuroinfections in travelers from endemic areas.
- This arbovirus poses a potential risk to tourists visiting Mediterranean regions.
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