title: Toscana virus encephalitis in a traveler returning to the United States.
abstract: In Italy, Toscana virus is the most common cause of meningitis from May to October. Though only a few cases have been reported in U.S. travelers returning from Europe, most cases are likely unrecognized due to lack of familiarity with the disease. Here, we describe the case of an 82-year-old man presenting with fever, profound weakness, and hearing loss after returning to the United States following a 2-week summertime vacation in southern Italy who was ultimately diagnosed with Toscana virus encephalitis. This case should alert clinicians to the possibility of Toscana virus infection in returning travelers and provides information on how to obtain testing if Toscana virus is suspected.
authors: Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut, USA benjamin.howell@yale.edu.
authors: Benjamin A
authors: BA
authors: Howell
authors: Yale School of Medicine, Section of Infectious Diseases, New Haven, Connecticut, USA.
authors: Marwan M
authors: MM
authors: Azar
authors: Yale School of Medicine, Department of Internal Medicine, New Haven, Connecticut, USA Yale School of Medicine, Department of Laboratory Medicine, New Haven, Connecticut, USA Yale-New Haven Hospital, Clinical Virology Laboratory, New Haven, Connecticut, USA.
authors: Marie L
authors: ML
authors: Landry
authors: Yale School of Medicine, Section of Infectious Diseases, New Haven, Connecticut, USA.
authors: Albert C
authors: AC
authors: Shaw
mesh_terms: D000369:Aged, 80 and over; D018792:Encephalitis, Viral / Q000453:epidemiology / Q000821:virology*; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D029301:Sandfly fever Naples virus / Q000302:isolation & purification*; D014195:Travel; D014481:United States / Q000453:epidemiology