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A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery
Here, we present a case of severe meningoencephalitis caused by combined infection with tick-borne encephalitis (TBE) and Lyme borreliosis (LB) in a 25-year-old woman in a rural area of Zhambyl region, Kazakhstan. She presented with fever, nausea, vomiting, weakness, sweating, severe headache, arthr...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353647/ https://www.ncbi.nlm.nih.gov/pubmed/37469466 http://dx.doi.org/10.4103/jgid.jgid_76_22 |
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author | Ostapchuk, Yekaterina O. Dmitrovskiy, Andrey M. Pak, Elena A. Perfilyeva, Yuliya V. |
author_facet | Ostapchuk, Yekaterina O. Dmitrovskiy, Andrey M. Pak, Elena A. Perfilyeva, Yuliya V. |
author_sort | Ostapchuk, Yekaterina O. |
collection | PubMed |
description | Here, we present a case of severe meningoencephalitis caused by combined infection with tick-borne encephalitis (TBE) and Lyme borreliosis (LB) in a 25-year-old woman in a rural area of Zhambyl region, Kazakhstan. She presented with fever, nausea, vomiting, weakness, sweating, severe headache, arthralgia, and malaise. The course of illness was further complicated by encephalitis with symmetric lesions of the midbrain cerebral peduncles and serous meningitis. TBE and LB co-infection were established by a two-fold increase in serum IgG titers between day 21 and day 25 of illness. Both infections responded well to combined therapy with human TBE immunoglobulins, antibiotics, antiviral drugs, glucocorticoids, and diuretics. The outcome of the disease was favorable and the patient recovered completely. |
format | Online Article Text |
id | pubmed-10353647 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-103536472023-07-19 A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery Ostapchuk, Yekaterina O. Dmitrovskiy, Andrey M. Pak, Elena A. Perfilyeva, Yuliya V. J Glob Infect Dis Case Report Here, we present a case of severe meningoencephalitis caused by combined infection with tick-borne encephalitis (TBE) and Lyme borreliosis (LB) in a 25-year-old woman in a rural area of Zhambyl region, Kazakhstan. She presented with fever, nausea, vomiting, weakness, sweating, severe headache, arthralgia, and malaise. The course of illness was further complicated by encephalitis with symmetric lesions of the midbrain cerebral peduncles and serous meningitis. TBE and LB co-infection were established by a two-fold increase in serum IgG titers between day 21 and day 25 of illness. Both infections responded well to combined therapy with human TBE immunoglobulins, antibiotics, antiviral drugs, glucocorticoids, and diuretics. The outcome of the disease was favorable and the patient recovered completely. Wolters Kluwer - Medknow 2023-03-31 /pmc/articles/PMC10353647/ /pubmed/37469466 http://dx.doi.org/10.4103/jgid.jgid_76_22 Text en Copyright: © 2023 Journal of Global Infectious Diseases https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Ostapchuk, Yekaterina O. Dmitrovskiy, Andrey M. Pak, Elena A. Perfilyeva, Yuliya V. A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title | A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title_full | A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title_fullStr | A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title_full_unstemmed | A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title_short | A Case of Combined Infection with Tick-Borne Encephalitis and Lyme Borreliosis with Severe Meningoencephalitis and Complete Recovery |
title_sort | case of combined infection with tick-borne encephalitis and lyme borreliosis with severe meningoencephalitis and complete recovery |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10353647/ https://www.ncbi.nlm.nih.gov/pubmed/37469466 http://dx.doi.org/10.4103/jgid.jgid_76_22 |
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