| Title | Tick-borne encephalitis presenting as fever without localising signs-a case series. | | Author(s) | Meyer PM, Zimmermann H, Goetschel P | | Institution | Department of Paediatrics, Triemli Hospital Zurich, Birmensdorferstrasse 497, 8063, Zurich, Switzerland, patrick_meyer@gmx.net. | | Source | Eur J Pediatr 2009 Nov 4. | | Abstract | INTRODUCTION: Tick-borne encephalitis (TBE) presents without neurologic symptoms in 19% in children less than 16 years in Switzerland (2000-2008). In these cases, fever can be the only leading manifestation. CASE SERIES: We report on four hospitalised children who had TBE and presented as fever without localising signs (FWLS) between 2000 and 2008 in an endemic area in Switzerland.
CONCLUSION: TBE infection has to be considered in the differential diagnosis of FWLS in endemic areas. Foremost, FWLS characterised by a biphasic fever course and accompanied by headache in patients in a reduced general condition. Affirming that in patients presenting as FWLS also cases of TBE are contained, this disease is underreported. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19888601 |
|
