Abstract
We present a case of endemic tick-borne encephalitis (TBE) occurring in June 2016 in the eastern part of the Netherlands in an area where a strain of TBE virus, genetically different from the common TBE virus strains in Europe, was reported in ticks in 2016. With the start of the tick season in spring, this second autochthonous Dutch TBE case should remind physicians to consider the possibility of endemic TBE in patients with respective symptoms.
Keywords:
Flaviviridae; The Netherlands; emerging or re-emerging diseases; tick-borne diseases; tick-borne encephalitis - TBE; vector-borne infections; viral infections; zoonotic infections.
This article is copyright of The Authors, 2017.
MeSH terms
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Acyclovir / administration & dosage
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Acyclovir / therapeutic use
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Adult
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Animals
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Anti-Bacterial Agents / administration & dosage
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Anti-Bacterial Agents / therapeutic use
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Antiviral Agents / administration & dosage
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Antiviral Agents / therapeutic use
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Bites and Stings
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Ceftriaxone / administration & dosage
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Ceftriaxone / therapeutic use
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Encephalitis Viruses, Tick-Borne / genetics
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Encephalitis Viruses, Tick-Borne / isolation & purification*
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Encephalitis, Tick-Borne / diagnosis*
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Encephalitis, Tick-Borne / drug therapy
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Encephalitis, Tick-Borne / immunology
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Humans
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Ixodes / virology*
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Male
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Netherlands
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Treatment Outcome
Substances
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Anti-Bacterial Agents
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Antiviral Agents
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Ceftriaxone
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Acyclovir