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Croatian Journal of Infection, Vol. 38 No. 4, 2018.

Other

Tick-borne Encephalitis in Professionally Exposed Persons after Complete Primary Vaccination

Dario Sabadi ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Maja Bogdanić ; Croatian Institute of Public Health, Zagreb, Croatia
Ljiljana Perić ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Mario Duvnjak ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Ilija Rubil ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Vladimir Savić ; Croatian Veterinary Institute, Zagreb, Croatia
Dubravka Lišnjić ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Andrea Babić-Erceg ; Croatian Institute of Public Health, Zagreb, Croatia
Irena Tabain ; Croatian Institute of Public Health, Zagreb, Croatia
Danijel Šimašek ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Ljubo Barbić ; Faculty of Veterinary Medicine University of Zagreb, Zagreb, Croatia
Barbara Grubišić ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Clinic for Infectious Diseases, University Hospital Center Osijek, Osijek, Croatia
Vladimir Stevanović ; Faculty of Veterinary Medicine University of Zagreb, Zagreb, Croatia
Vedrana Radočaj ; Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Goranka Petrović ; Croatian Institute of Public Health, Zagreb, Croatia
Tatjana Vilibić-Čavlek ; Croatian Institute of Public Health, Zagreb, Croatia; School of Medicine, University of Zagreb, Zagreb, Croatia

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Abstract

In this paper we present a case report of tick-borne encephalitis (TBE) in a professionally
exposed person (forestry worker) who acquired this infection three years after he had received a complete primary vaccination. The patient reported multiple tick bites, the last one eighteen days prior to disease onset. The TBE diagnosis was confirmed according to the European Center for Disease Prevention and Control case definition of TBE by clinical criteria (meningitis),
epidemiological link (exposure to tick bites in an endemic area) and laboratory criteria (detection of TBEV specific IgM and IgG antibodies in CSF and serum samples). The case presented indicates the need of awareness of possible TBE even in persons who have received complete vaccination, especially in the professionally exposed ones or those exposed to multiple tick bites.

Keywords

tick-borne encephalitis; vaccine; Croatia

Hrčak ID:

227792

URI

https://hrcak.srce.hr/227792

Publication date:

13.11.2019.

Article data in other languages: croatian

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