title: A fatal tick bite occurring during the course of tick-borne encephalitis vaccination.
abstract: In Western Europe tick-borne encephalitis virus infections with fatal outcome are rare, especially in children. We report the case of an adolescent who died of meningoencephalitis after a tick bite that occurred between the first 2 tick-borne encephalitis vaccinations. The case demonstrates the difficulty of differentiating possible adverse events associated with the immunization from symptoms of simultaneous infection with tick-borne encephalitis virus.
authors.affiliation: Division of Clinical Pharmacology and Toxicology, University Hospital Basel, Basel, Switzerland.
authors.forename: Yolanda B
authors.initials: YB
authors.lastname: Brauchli
authors.forename: Matthias
authors.initials: M
authors.lastname: Gittermann
authors.forename: Marc
authors.initials: M
authors.lastname: Michot
authors.forename: Stephan
authors.initials: S
authors.lastname: Krähenbühl
authors.forename: Hanspeter E
authors.initials: HE
authors.lastname: Gnehm
mesh_terms: D000293:Adolescent; D001921:Brain / Q000473:pathology; D003937:Diagnosis, Differential; D004675:Encephalitis, Tick-Borne; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D013557:Switzerland; D014765:Viral Vaccines / Q000008:administration & dosage*
chemical_list: D014765:Viral Vaccines