Tick-borne encephalitis in Poland in years 1993-2008--epidemiology and clinical presentation. A retrospective study of 687 patients.

摘要: Background and purpose:  Tick-borne encephalitis (TBE) is an emerging disease in Europe as Poland, especially north-eastern part of the country. The aim study was to characterize epidemiology clinical features TBE this region. Methods:  Clinical epidemiological data 687 patients hospitalized between 1993 2008 at Department Infectious Diseases Neuroinfections with diagnosis were analysed. Results:  In case 59 (9.5%), job related (forestry workers, farmers). examined group, presented meningitis 282 cases (41%), meningoencephalitis 353 (51.3%) meningoencephalomyelitis 52 (7.6%). most common neurological abnormalities ataxia 88 (14.17%) pareses 53 (8.53%). Four (0.6%) died, 144 (23.2%) discharged sequelae TBE. Two hundred seventy-two (43.8%) required further psychiatric treatment. At least 38 (6.1%) developed long-term hospitalizations. Dexamethasone dosage 6–32 mg administered 407 for 1–64 days. Conclusions:  sometimes difficult symptoms may be non-characteristic. Therefore, a detailed anamnesis very important process alone justify lumbar puncture conduction. Despite usually mild course disease, develop psychiatrical sequelae.