title: [Tick-encephalitis after a vacation in Southern Germany].
abstract: A 38-year-old man was admitted with signs of meningoencephalitis. Tick-borne encephalitis was considered because the patient reported a tick bite during a vacation in South Germany and because of the biphasic course of the symptoms. Serology for tick-borne encephalitis was positive: this constituted the first reported positive serology outcome in the National Institute for Public Health and Environment in the Netherlands. Tick-borne encephalitis is an infection with a flavivirus transmitted by an infected tick, which is endemic in parts of Central and Eastern Europe. The neurological symptoms are meningitis, meningoencephalitis or meningoradiculomyelitis. In a small percentage of patients neurological symptoms persist. A reliable vaccine is available, but is not routinely recommended for tourists.
authors.affiliation: Afd. Interne Geneeskunde, Ziekenhuis De Baronie, Breda.
authors.forename: B L
authors.initials: BL
authors.lastname: Kessels
authors.forename: R
authors.initials: R
authors.lastname: van Dijl
authors.forename: P H
authors.initials: PH
authors.lastname: van Keulen
authors.forename: G P
authors.initials: GP
authors.lastname: Verburg
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004675:Encephalitis, Tick-Borne / Q000175:diagnosis* / Q000821:virology; D004797:Enzyme-Linked Immunosorbent Assay; D005416:Flavivirus / Q000302:isolation & purification*; D005858:Germany; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000175:diagnosis* / Q000821:virology; D012075:Remission, Spontaneous; D014195:Travel