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  • Title: Tick-borne meningoencephalitis in a 4.5-month-old infant.
    Author: Leistner C, Dahlem P.
    Journal: Klin Padiatr; 2011 Jul; 223(4):242-3. PubMed ID: 20814849.
    Abstract:
    BACKGROUND: The course of tick-borne encephalitis (TBE) in children is supposed to be mild though severe neurological sequelae have been reported. Only occasionally infants are affected. PATIENTS AND METHODS: Case report, review of literature. RESULTS: We describe the first case of tick-borne encephalitis in a 4.5-month-old male infant in Germany. 11 days after a tick-bite he developed acute illness with fever, focal and generalized seizures. Meningoencephalitis caused by the TBE virus was diagnosed by cerebrospinal fluid (CSF) pleocytosis and detection of TBE-RNA in the CSF. Neurological follow-up showed no abnormalities. CONCLUSIONS: The acute meningoencephalitis in the present case and the neurological short and long term morbidity of 3 additional published cases of TBE suggest the considerable burden of this disease in infancy. As parents can transmit the tick to their infant informations about exposure-prophylactic measurements are recommended.
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