title: Tick-borne encephalitis complicated by a polio-like syndrome following a holiday in central Europe.
abstract: We report a case of Central European tick-borne encephalitis (CETE) in a 54-year-old man, presenting with fever and neurological complications following a holiday in Austria. A disease resembling paralytic poliomyelitis may develop with upper and lower extremity paralysis, as is the case in our patient. Our patient was most likely infected by eating goat's cheese, made of unpasteurised goat's milk. The diagnosis was confirmed by a positive IgM antibody response to the virus in the serum.
authors.affiliation: Department of Neurology, De Wever Hospital, Heerlen, Netherlands.
authors.forename: R P
authors.initials: RP
authors.lastname: Aendekerk
authors.forename: A N
authors.initials: AN
authors.lastname: Schrivers
authors.forename: P J
authors.initials: PJ
authors.lastname: Koehler
mesh_terms: D000818:Animals; D001317:Austria; D003937:Diagnosis, Differential; D004675:Encephalitis, Tick-Borne / Q000134:cerebrospinal fluid / Q000150:complications*; D005121:Extremities / Q000503:physiopathology; D005517:Foodborne Diseases; D006041:Goats; D006801:Humans; D007075:Immunoglobulin M / Q000134:cerebrospinal fluid; D008297:Male; D008875:Middle Aged; D008892:Milk / Q000009:adverse effects; D010243:Paralysis / Q000150:complications* / Q000503:physiopathology; D011051:Poliomyelitis / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed
chemical_list: D007075:Immunoglobulin M