title: An outbreak of tick-borne encephalitis associated with raw goat milk and cheese consumption, Croatia, 2015.
abstract: The aim of this report is to emphasize the risk of acquiring TBE by the consumption of raw milk and dairy products. In April-May 2015, we registered the first outbreak of tick-borne encephalitis in Croatia in seven members out of ten exposed persons who consumed raw goat milk or cheese from the same supplier. Infection was confirmed by TBEV enzyme-linked immunosorbent assay (ELISA) in all patients. None had been vaccinated nor had observed a tick bite.
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia. fijufiju@gmail.com.
authors.forename: Leo
authors.initials: L
authors.lastname: Markovinović
authors.affiliation: Institute for Public Health "Dr. Andrija Štampar", Mirogojska 16, 10000, Zagreb, Croatia.
authors.forename: M L
authors.initials: ML
authors.lastname: Kosanović Ličina
authors.affiliation: Institute for Public Health "Dr. Andrija Štampar", Mirogojska 16, 10000, Zagreb, Croatia.
authors.forename: V
authors.initials: V
authors.lastname: Tešić
authors.affiliation: Institute for Public Health "Dr. Andrija Štampar", Mirogojska 16, 10000, Zagreb, Croatia.
authors.forename: D
authors.initials: D
authors.lastname: Vojvodić
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia.
authors.forename: I
authors.initials: I
authors.lastname: Vladušić Lucić
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia.
authors.forename: T
authors.initials: T
authors.lastname: Kniewald
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia.
authors.forename: T
authors.initials: T
authors.lastname: Vukas
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia.
authors.forename: M
authors.initials: M
authors.lastname: Kutleša
authors.affiliation: University Hospital for Infectious Diseases "Dr. Fran Mihaljević", Lomnička 5, Mirogojska 8, 10000, Zagreb, Croatia.
authors.forename: Lidija Cvetko
authors.initials: LC
authors.lastname: Krajinović
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D002611:Cheese / Q000821:virology*; D017523:Croatia / Q000453:epidemiology; D004032:Diet; D004196:Disease Outbreaks; D004669:Encephalitis Viruses, Tick-Borne / Q000302:isolation & purification*; D004675:Encephalitis, Tick-Borne / Q000453:epidemiology* / Q000821:virology; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006041:Goats; D006801:Humans; D008297:Male; D008875:Middle Aged; D008892:Milk / Q000821:virology*; D012307:Risk Factors; D055815:Young Adult
keywords: Cheese; Foodborne; Goat; Milk; Outbreak; Tick-borne encephalitis virus