OUTCOMES OF TICK-BORNE ENCEPHALITIS IN THE TOMSK REGION
T. S. PineginaН. Г. ЖуковаН. Н. БартфельдЛюдмила Александровна МалышеваИ. Н. УдинцеваZ. S. KemerovaN. I. MartynovaO. V. BurovT. N. PoltoratskayaА. В. ШихинЛ. В. Лукашова
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Abstract:
The results of the study outcomes of tick-borne encephalitis in adults in the Tomsk Region. Patients conducted a comprehensive clinical and laboratory examination. Revealed the prevalence of autonomic disorders in individuals who have had at different periods of tick-borne encephalitis, which is regarded as the effects of tick-borne infection. Residual effects of tick-borne encephalitis occurs mainly in the form of light paresis after suffering a focal forms. Among the chronic (progredient) forms of tick-borne encephalitis often formed hyperkinetic options. Most of the study revealed the presence of precipitating factors that could have an influence on the outcome. Fundamental diffe rences in all-clinical and immunological analyses at patients with various outcomes of tick-borne encephalitis it wasn't noted. KEY WORDS: tick-borne encephalitis, Tomsk Region, the outcomes.Keywords:
Tick-borne encephalitis
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Description of the course, complications and permanent sequelae
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In the given work had been lead the analysis of epidemiological data TBE for 1999—2009 on Tomsk area. The information on quantity imparted against tick-borne encephalitis, about results of research of pincers and blood at the persons who have addressed on points prevention of tick-borne encephalitis and about quantity of the diseased tick-borne encephalitis is presented. Analysis of a complex of preventive actions is spent. The reasons of formation of the long maintenance of a virus tick-borne encephalitis in blood are shown.
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В статье представлен клинический случай тяжелого клещевого энцефалита у ребенка 10 лет, протекавшего в форме менингоэнцефаломиелорадикулоневропатии. Продемонстрированы сложности постановки диагноза и дифференциальной диагностики. Сделаны выводы о необходимости усиления настороженности в отношении клещевого энцефалита у детей. The article presents a clinical case of severe tick-borne encephalitis in 10 years old child, occurring in the form of meningoencephalomyeloradiculoneuropathy. The difficulties of a diagnosis and differential diagnosis have been demonstrated. Conclusions were made about the need to increase caution regarding tick-borne encephalitis in children.
Tick-borne encephalitis
Clinical Diagnosis
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Tick-borne encephalitis is a significant concern in endemic regions, and in rare cases it may even be fatal. There is no specific treatment for the disease. Vaccines from two manufacturers are available against tick-borne encephalitis, both considered effective and safe. Severe adverse effects due to tick-borne encephalitis vaccine are rare. We describe the first severe myelitis detected in Finland following vaccination against tick-borne encephalitis.
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Tick-borne encephalitis is an infection of the CNS caused by a tick-borne encephalitis virus transmitted by ticks. It is more common in adults than in children. During the last 30 years, the incidence of the disease increased continuously in almost all endemic European countries except Austria. Many factors are responsible for the increased incidence. However, in Austria, the incidence of tick-borne encephalitis decreased dramatically since the introduction of a well-organized vaccination campaign against tick-borne encephalitis. The diagnosis of tick-borne encephalitis is based on clinical criteria and laboratory confirmation of infection. Other tick-borne diseases, such as Lyme borreliosis and human granulocytic anaplasmosis, should be considered in children with tick-borne encephalitis since endemic areas for all three diseases overlap.
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The results of the study outcomes of tick-borne encephalitis in adults in the Tomsk Region. Patients conducted a comprehensive clinical and laboratory examination. Revealed the prevalence of autonomic disorders in individuals who have had at different periods of tick-borne encephalitis, which is regarded as the effects of tick-borne infection. Residual effects of tick-borne encephalitis occurs mainly in the form of light paresis after suffering a focal forms. Among the chronic (progredient) forms of tick-borne encephalitis often formed hyperkinetic options. Most of the study revealed the presence of precipitating factors that could have an influence on the outcome. Fundamental diffe rences in all-clinical and immunological analyses at patients with various outcomes of tick-borne encephalitis it wasn't noted. KEY WORDS: tick-borne encephalitis, Tomsk Region, the outcomes.
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Tick-borne disease
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Tick-borne encephalitis, also called forest encephalitis, is caused by tick-borne encephalitis virus. Central nervous system lesion is the major clinical symptom of tick-borne encephalitis, as an acute infectious disease, the case fatality rate is as high as 10%-20%. Virology experts consider it as a key and difficult point in recent years. This paper summarizes the progress in research of epidemiological characteristics, pathogenesis, clinical manifestations, outcome, diagnosis and treatment of tick-borne encephalitis to provide evidence for the prevention and treatment of tick-borne encephalitis.
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