Increasing evidence of tick-borne encephalitis (TBE) virus transmission, the Netherlands, June 2016.
We present a case of endemic tick-borne encephalitis (TBE) occurring in June 2016 in the eastern part of the Netherlands in an area where a strain of TBE virus, genetically different from the common TBE virus strains in Europe, was reported in ticks in 2016. With the start of the tick season in spring, this second autochthonous Dutch TBE case should remind physicians to consider the possibility of endemic TBE in patients with respective symptoms.
Department of Internal Medicine, Ziekenhuis Groep Twente, Almelo/Hengelo, the Netherlands.
Adriaan Cg
AC
Weststrate
Department of Internal Medicine, Ziekenhuis Groep Twente, Almelo/Hengelo, the Netherlands.
Daan
D
Knapen
Department of Internal Medicine, Ziekenhuis Groep Twente, Almelo/Hengelo, the Netherlands.
Gozewijn D
GD
Laverman
Department of Internal Medicine, Ziekenhuis Groep Twente, Almelo/Hengelo, the Netherlands.
Bart
B
Schot
Department of Neurology, Ziekenhuis Groep Twente, Almelo/Hengelo, the Netherlands.
Jan Jw
JJ
Prick
Public Health Service, Twente, the Netherlands.
Silke A
SA
Spit
Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Johan
J
Reimerink
Center for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Barry
B
Rockx
Laboratory for Medical Microbiology and Public Health, Hengelo, the Netherlands.
Felix
F
Geeraedts
D000212:Acyclovir / Q000008:administration & dosage / Q000627:therapeutic use; D000328:Adult; D000818:Animals; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000627:therapeutic use; D000998:Antiviral Agents / Q000008:administration & dosage / Q000627:therapeutic use; D001733:Bites and Stings; D002443:Ceftriaxone / Q000008:administration & dosage / Q000627:therapeutic use; D004669:Encephalitis Viruses, Tick-Borne / Q000235:genetics / Q000302:isolation & purification*; D004675:Encephalitis, Tick-Borne / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D006801:Humans; D018884:Ixodes / Q000821:virology*; D008297:Male; D009426:Netherlands; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000998:Antiviral Agents; D002443:Ceftriaxone; D000212:Acyclovir
Flaviviridae; The Netherlands; emerging or re-emerging diseases; tick-borne diseases; tick-borne encephalitis - TBE; vector-borne infections; viral infections; zoonotic infections