Acta Neurologica Belgica

, Volume 119, Issue 4, pp 649–651 | Cite as

Tick-borne encephalitis complicated by Guillain–Barré syndrome

  • Josef G. HeckmannEmail author
  • I. Vachalová
  • J. Großkopf
Letter to the Editor

Tick-borne encephalitis (TBE) is a significant viral infection of the central nervous system by the TBE virus (TBEV), which belongs to the flavivirus group and is transmitted by tick bites or (rarely) by unpasteurized milk. It causes a broad spectrum of subclinical to severe infections, including meningitis, meningoencephalitis, encephalomyeloradiculitis and poliomyelitis-like illness [1]. We report on a patient suffering TBE complicated by a Guillain–Barré syndrome variant.

A 65-year-old man reported a tick bite on his right thigh, and the tick was soon removed by his family doctor. 15 days later, when traveling to Norway, he reported headaches and discomfort. His wife noted that he was acting confused and arranged hospital care for him. On admission to the hospital, the patient was awake but disorientated. He was febrile (39.3 °C rectal) and tachypnoic (30 breaths/min). He was confused, ataxic and dyspraxic. An antibiotic treatment regimen with aminopenicillin, gentamycin and, later,...


Meningitis Encephalitis Tick-borne virus Flavivirus Guillain–Barré syndrome 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants performed by any of the authors.

Informed consent

Informed consent was obtained from the patient included in the study.


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Copyright information

© Belgian Neurological Society 2019

Authors and Affiliations

  1. 1.Department of NeurologyMunicipal Hospital LandshutLandshutGermany

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