OWN - NLM
DA - 20170720
LR - 20170818
IS - 1439-4413 (Electronic)
IS - 0012-0472 (Linking)
VI - 142
IP - 14
DP - 2017 Jul
TI - [Fever and Headache after a Vacation in Thailand].
PG - 1063-1066
LID - 10.1055/s-0043-106282 [doi]
AB - History 50 year-old man with fever and headache starting one week after returning
from his vacation in Thailand. His general practitioner prescribed
amoxicillin/clavulanic acid, without further analyses to pinpoint the infection.
Examinations The examination of cerebro-spinal fluid was crucial for the final
diagnosis. Lumbar puncture demonstrated a predominantly mononuclear pleocytosis
of 80 cells/microl (< 5) with an elevated protein of 782 mg/l (< 450); glucose
and lactate were within normal limits. Treatment and course Initially we tried to
treat a broad range of organisms potentially causing meningitis or encephalitis.
Typical bacteria and viruses endemic to Switzerland were not found, thus
anti-infective treatment was stopped. Also the search for malaria, HIV,
Chikungunya and Dengue infections yielded negative results. After 10 days we
received a positive serologic test for Japanese encephalitis virus (JEV).
Conclusions The Japanese encephalitis virus is transmitted by mosquitoes and is
epidemiologically one of the most important transmissible neurologic diseases in
Asia. Although only a minority of infected patients are gravely ill, their
sequelae and death toll are considerable. Since 2009 a well-tolerated vaccine is
CI - (c) Georg Thieme Verlag KG Stuttgart . New York.
FAU - Schwermer, Benedikt
AU - Schwermer B
FAU - Eschle, Daniel
AU - Eschle D
FAU - Bloch-Infanger, Constantine
AU - Bloch-Infanger C
LA - ger
PT - Case Reports
PT - Journal Article
TT - Fieber und Kopfschmerzen nach Thailandurlaub.
DEP - 20170720
PL - Germany
TA - Dtsch Med Wochenschr
JT - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
RN - 0 (Japanese Encephalitis Vaccines)
SB - IM
MH - Diagnosis, Differential
MH - Encephalitis, Japanese/*diagnosis/therapy/*virology
MH - Fever of Unknown Origin/*diagnostic imaging/prevention & control/*virology
MH - Headache/*diagnostic imaging/prevention & control/virology
MH - Humans
MH - Japanese Encephalitis Vaccines/therapeutic use
MH - Male
MH - Middle Aged
MH - Switzerland
MH - Thailand
MH - *Travel
MH - Treatment Outcome
COI - Disclosure The authors report no conflicts of interest in this work.
EDAT- 2017/07/21 06:00
MHDA- 2017/08/19 06:00
CRDT- 2017/07/21 06:00
AID - 10.1055/s-0043-106282 [doi]
PST - ppublish
SO - Dtsch Med Wochenschr. 2017 Jul;142(14):1063-1066. doi: 10.1055/s-0043-106282.
Epub 2017 Jul 20.