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Fritsch, P; Gruber-Sedlmayr, U; Pansi, H; Zohrer, B; Mutz, I; Spork, D; Zenz, W.
Tick-borne encephalitis in Styrian children from 1981 to 2005: a retrospective study and a review of the literature.
ACTA PAEDIAT. 2008; 97(5): 535-538.
Doi: 10.1111/j.1651-2227.2008.00763.x
Web of Science
PubMed
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FullText_MUG
- Führende Autor*innen der Med Uni Graz
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Fritsch Peter
- Co-Autor*innen der Med Uni Graz
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Gruber-Sedlmayr Ursula
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Zenz Werner
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Zöhrer Bettina
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- Abstract:
- BACKGROUND: Tick-borne encephalitis in children appears to be more benign than in adults and shows also a more favourable outcome. Only some authors report of sequelae like paralysis, paresis or seizures and behavioural abnormalities. The aim was to describe the clinical features of tick-borne encephalitis in children with special attention to sequelae and to review the literature. METHODS: Retrospective review of all charts of children with serologically confirmed tick-borne encephalitis hospitalised in Styria between 1981 and 2005. RESULTS: One hundred sixteen children were diagnosed with tick-borne encephalitis. Ninety-two children (79.3%) developed meningitis and 24 (20.7%) meningoencephalitis. Eleven patients with meningoencephalitis showed somnolence, 5 confusion, 5 tremors, 2 facial palsy, 1 ataxia, 1 epileptic seizure and 1 hemi paresis. Seven patients had to be admitted to the intensive care unit. Two children (1.7%) developed long time neurological sequelae: one epileptic seizure with requirement of antiepileptic therapy and one left-sided hemi paresis. One hundred twelve children had been not and 3 incompletely vaccinated against tick-borne encephalitis. Only one child had been fully vaccinated according to the Austrian vaccination schedule. CONCLUSION: Our study provides further evidence that tick-borne encephalitis in children has a substantial morbidity and in single cases severe long-time neurological sequelae are observed.
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Adolescent -
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Austria - epidemiology
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Child -
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Child, Preschool -
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Encephalitis, Tick-Borne - complications
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Humans -
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Incidence -
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Infant -
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Medical Records -
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Meningitis - classification
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Meningoencephalitis - epidemiology
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Retrospective Studies -
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Viral Vaccines -
- Find related publications in this database (Keywords)
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children
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prognosis
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review
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sequelae
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TBE