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Clinical Characteristics of Patients with Tick-Borne Encephalitis (TBE): A European Multicentre Study from 2010 to 2017
B. Kohlmaier, NA. Schweintzger, MG. Sagmeister, V. Švendová, DS. Kohlfürst, A. Sonnleitner, M. Leitner, A. Berghold, E. Schmiedberger, F. Fazekas, A. Pichler, J. Rejc-Marko, D. Růžek, L. Dufková, D. Čejková, P. Husa, M. Pýchová, L. Krbková, V....
Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
Grantová podpora
Land Steiermark (Office of the regional government of Styria, department of health, care and science, unit science and research, Austria)
NV19-05-00457
Czech Ministry of Health
P3-0296
Slovenian Research Agency
NLK
Directory of Open Access Journals
od 2013
PubMed Central
od 2013
Europe PubMed Central
od 2013
ProQuest Central
od 2013-01-01
Open Access Digital Library
od 2013-01-01
Open Access Digital Library
od 2013-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2013
- Publikační typ
- časopisecké články MeSH
Tick-borne encephalitis (TBE) virus is a major cause of central nervous system infections in endemic countries. Here, we present clinical and laboratory characteristics of a large international cohort of patients with confirmed TBE using a uniform clinical protocol. Patients were recruited in eight centers from six European countries between 2010 and 2017. A detailed description of clinical signs and symptoms was recorded. The obtained information enabled a reliable classification in 553 of 555 patients: 207 (37.3%) had meningitis, 273 (49.2%) meningoencephalitis, 15 (2.7%) meningomyelitis, and 58 (10.5%) meningoencephalomyelitis; 41 (7.4%) patients had a peripheral paresis of extremities, 13 (2.3%) a central paresis of extremities, and 25 (4.5%) had single or multiple cranial nerve palsies. Five (0.9%) patients died during acute illness. Outcome at discharge was recorded in 298 patients. Of 176 (59.1%) patients with incomplete recovery, 80 (27%) displayed persisting symptoms or signs without recovery expectation. This study provides further evidence that TBE is a severe disease with a large proportion of patients with incomplete recovery. We suggest monitoring TBE in endemic European countries using a uniform protocol to record the full clinical spectrum of the disease.
Department of General Paediatrics Medical University of Graz 8036 Graz Austria
Department of Infectious Diseases Hospital Ceske Budejovice 370 01 Ceske Budejovice Czech Republic
Department of Infectious Diseases Lithuanian University of Health Sciences 44307 Kaunas Lithuania
Department of Infectious Diseases University Medical Centre Ljubljana 1000 Ljubljana Slovenia
Department of Neurology Medical University of Graz 8036 Graz Austria
Deptartment of Infectious Diseases University Hospital Brno 625 00 Brno Czech Republic
Citace poskytuje Crossref.org
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- $a Tick-borne encephalitis (TBE) virus is a major cause of central nervous system infections in endemic countries. Here, we present clinical and laboratory characteristics of a large international cohort of patients with confirmed TBE using a uniform clinical protocol. Patients were recruited in eight centers from six European countries between 2010 and 2017. A detailed description of clinical signs and symptoms was recorded. The obtained information enabled a reliable classification in 553 of 555 patients: 207 (37.3%) had meningitis, 273 (49.2%) meningoencephalitis, 15 (2.7%) meningomyelitis, and 58 (10.5%) meningoencephalomyelitis; 41 (7.4%) patients had a peripheral paresis of extremities, 13 (2.3%) a central paresis of extremities, and 25 (4.5%) had single or multiple cranial nerve palsies. Five (0.9%) patients died during acute illness. Outcome at discharge was recorded in 298 patients. Of 176 (59.1%) patients with incomplete recovery, 80 (27%) displayed persisting symptoms or signs without recovery expectation. This study provides further evidence that TBE is a severe disease with a large proportion of patients with incomplete recovery. We suggest monitoring TBE in endemic European countries using a uniform protocol to record the full clinical spectrum of the disease.
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