| Abstract [eng] |
Introduction. Tick-borne encephalitis (TBE) is one of the most important viral vector-borne central nervous system (CNS) infections in Europe and parts of Asia. Tick-borne encephalitis virus is transmitted during tick bites, less often by consuming unpasteurized milk. In European countries, viral tick-borne encephalitis occurs in severe forms in about 50% of patients, meningoencephalitic form in 40%, and meningoencephalomyelitis in 10% of patients. The severity of tick-borne encephalitis increases with age. The long-term prognosis of the disease is unfavorable, about 40-50% of patients with tick-borne encephalitis feel the consequences of the disease for months or years, usually paresis, ataxia and other gait or balance disorders. In the absence of specific treatment for tickborne encephalitis, the only effective way to prevent the disease is vaccination. Modern vaccines are safe and effective, with an effectiveness of 95-99%. Case report. A 19-year-old patient came to the Emergency Department with the referral of a family doctor. He complained of fever up to 38.6*C, headache, dizziness, nausea, vomiting, general weakness, difficulty in walking and weakness of the right arm. Fell ill 3 days ago. From the epidemiological anamnesis is known, the patients was bitten by tick 2 weeks ago. Vaccination against tick-borne encephalitis has not been performed. A lumbar puncture and serological tests were performed and diagnosis of tick-born encephalitis was made. As the clinical condition worsened, with the progression of the meningoencephalomyelitis clinic, the patient was transferred to the Intensive care unit. After the condition improved, rehabilitation treatment was provided. Despite intensive treatment and rehabilitation treatment, the patient left the hospital with persistent balance disorders and hand paresis. Conclusion. Viral tick-borne encephalitis is an important tick-borne infection of the central nervous system in Europe and Asia. Due to the relatively severe clinical course and lack of specific treatment, the high proportion of patients who do not fully recover from the acute illness, and the increasing morbidity, it is a growing public health problem that could be significantly reduced by vaccination. |
