title: [Serious Headache].
abstract: A patient with fever, headache and discrete neurologic symptoms developed a coma followed by severe paralysis. The cause was a tick-borne encephalitis. In the follow-up, the patient required supportive care on the intensive care unit for almost two months and further on, a rehabilitation of almost seven months was needed. The patient has not been vaccinated, even though he fulfilled the criteria for the recommendation of vaccination because he occasionally visited areas at risk.
authors.affiliation: 1 Medizentrum Täuffelen, Täuffelen.
authors.forename: Beat
authors.initials: B
authors.lastname: Grünig
authors.affiliation: 2 Klinik für Innere Medizin.
authors.forename: Madeleine
authors.initials: M
authors.lastname: Rothen
authors.affiliation: 3 Abteilung für Intensivmedizin, Spitalzentrum Biel.
authors.forename: Marcus
authors.initials: M
authors.lastname: Laube
mesh_terms: D000368:Aged; D003128:Coma / Q000209:etiology*; D003430:Cross-Sectional Studies; D004675:Encephalitis, Tick-Borne / Q000175:diagnosis* / Q000453:epidemiology / Q000517:prevention & control; D006261:Headache / Q000209:etiology*; D006801:Humans; D008297:Male; D010243:Paralysis / Q000209:etiology*; D013557:Switzerland; D014611:Vaccination
keywords: FSME; Impfung; Meningoenzephalitis; Zecken; meningoencephalitis; tick-borne encephalitis; ticks; vaccination