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Tick-borne encephalitis related uveitis: a case report.

Nafsika Voulgari1, Claire-May Blanc2, Vanessa Guido3

  • 1Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, avenue de France 15, 1002, Lausanne, Switzerland.

BMC Ophthalmology
|August 29, 2021
PubMed
Summary
This summary is machine-generated.

This study reports a new association between Tick-Borne Encephalitis Virus (TBEV) and uveitis, a rare eye inflammation. Prompt recognition and treatment of TBEV infection are crucial for preventing severe neurological and ocular complications.

Keywords:
Case reportInfectious diseaseInfectious uveitisTick-born encephalitisUveitisViral uveitisVirus

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Area of Science:

  • Neuroscience
  • Ophthalmology
  • Infectious Diseases

Background:

  • Tick-borne encephalitis (TBE) is a growing concern in Europe and Asia, caused by the TBE virus (TBEV).
  • Ocular involvement in TBE has not been previously documented in medical literature.
  • TBEV is transmitted via tick bites and affects the central nervous system.

Observation:

  • A patient presented with neurological symptoms including headache and ataxia following a tick bite.
  • The patient subsequently developed unilateral visual loss and was diagnosed with non-granulomatous anterior uveitis with retinal hemorrhages.
  • Cerebrospinal fluid PCR was negative for herpes viruses, and initial serology for Borreliosis and TBEV was negative.

Findings:

  • TBEV seroconversion confirmed the diagnosis of TBE.
  • The patient's uveitis and neurological symptoms resolved completely with supportive care.
  • This case establishes a novel association between TBEV and uveitis.

Implications:

  • This finding expands the known clinical spectrum of TBEV infection.
  • Increased awareness of TBEV-related uveitis is crucial for early diagnosis and management.
  • Prompt recognition and treatment can prevent long-term visual or neurological sequelae.