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A Model for Epilepsy of Infectious Etiology using Theiler's Murine Encephalomyelitis Virus

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[A case of tick-borne encephalitis without any sequelae].

Daiki Tanaka¹, Megumi Abe¹, Kiyomi Kuroshima¹

¹Department of Neurology, Japanese Red Cross Asahikawa Hospital.

Rinsho Shinkeigaku = Clinical Neurology

|April 19, 2021

Summary

A tick-borne encephalitis case in Japan, initially presenting as meningitis then encephalitis, was successfully treated with intensive care and steroid pulse therapy. This is the first reported Japanese case of tick-borne encephalitis with complete recovery and no long-term effects.

Keywords:

flavivirus tick tick-borne encephalitis

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Area of Science:

Neurology
Infectious Diseases
Public Health

Background:

Tick-borne encephalitis (TBE) is a serious neurological disease transmitted by ticks.
Japan has a low incidence of TBE, with previous cases resulting in severe outcomes.
Early diagnosis and intervention are crucial for managing TBE.

Observation:

A 43-year-old woman presented with fever, headache, and nausea following a tick bite in Hokkaido.
Cerebrospinal fluid analysis confirmed meningitis, progressing to encephalitis with altered consciousness and respiratory distress.
The patient required mechanical ventilation and steroid pulse therapy.

Findings:

The patient's condition improved, enabling weaning from the respirator by day 10 and discharge by day 24.
This case represents the fifth reported instance of TBE in Japan.
Crucially, this is the first documented case of TBE in Japan with a full recovery and no sequelae.

Implications:

This case highlights the potential for successful TBE management even in severe presentations.
It underscores the importance of prompt medical attention for tick-borne illnesses.
Further research into TBE pathogenesis and treatment in the Japanese context is warranted.