Summary
This review is a summary of the most important clinical findings and implications of tick-borne encephalitis (TBE) in children. It is based on a Pubmed search with the terms “tick-borne encephalitis”, “children”, “infection”, “meningitis”, “meningoencephalitis”, and “outcome”. TBE in children shares several features with their adult counterpart but has overall a better prognosis. Nevertheless, TBE is associated with substantial morbidity and mortality in a small group of children and seems to cause cognitive dysfunctions, which needs to be studied in further detail.
Zusammenfassung
Die folgende Übersicht beschreibt die wichtigsten Befunde und Beschwerden einer FSME bei Kindern und Jugendlichen. Sie basiert auf einer Pubmed-Suche mit den Begriffen: FSME, Kinder, Infektion, Meningitis, Meningoenzephalitis und Prognose. Die FSME im Kindes- und Jugendalter weist zwar viele Ähnlichkeiten mit dem Verlauf bei Erwachsenen auf, hat jedoch eine deutlich bessere Prognose. Gelegentlich kann die FSME aber auch bei jüngeren Personen mit einem schweren Verlauf und einer ungünstigen Prognose einhergehen, was sich vornehmlich in Aufmerksamkeitsdefiziten und weiteren neuropsychologischen Defiziten äußert. Dieser Aspekt wurde bislang zu wenig untersucht und bedarf zukünftig einer intensiveren Analyse.
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Abbreviations
- CNS:
-
Central nervous system
- CSF:
-
Cerebrospinal fluid
- CRP:
-
C-reactive protein
- EEG:
-
Electroencephalogram
- ESR:
-
Erythrocyte sedimentation rate
- HSVE:
-
Herpes simplex virus encephalitis
- MRI:
-
Magnetic resonance imaging
- PCR:
-
Polymerase chain reaction
- TBE:
-
Tick-borne encephalitis
- TBEV:
-
Tick-borne encephalitis virus
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Rostasy, K. Tick-borne encephalitis in children. Wien Med Wochenschr 162, 244–247 (2012). https://doi.org/10.1007/s10354-012-0101-4
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DOI: https://doi.org/10.1007/s10354-012-0101-4