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Volume 15, Number 10—October 2009

Dispatch

Tick-borne Encephalitis from Eating Goat Cheese in a Mountain Region of Austria

Heidemarie HolzmannComments to Author , Stephan W. Aberle, Karin Stiasny, Philipp Werner, Andreas Mischak, Bernhard Zainer, Markus Netzer, Stefan Koppi, Elmar Bechter, and Franz X. Heinz
Author affiliations: Medical University of Vienna, Vienna, Austria (H. Holzmann, S.W. Aberle, K. Stiasny, F.X. Heinz); Regional Hospital, Rankweil, Austria (P. Werner, S. Koppi); Austrian Public Health Authorities, Vorarlberg, Austria (A. Mischak, B. Zainer, M. Netzer, E. Bechter)

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Table

Infection parameters of 7 persons exposed to TBEV by eating nonpasteurized goat cheese, Austria, 2008*

Sex/ age, y Incubation, d Symptoms/signs Diagnosis Hospitalized, d Virologic parameters
TBEV infection confirmed
Material TBEV ELISA
TBEV
NT
IgM IgG
M/43 11 Fever, cephalea, meningism, aseptic urethritis; CSF: pleocytosis ME 18 Serum Pos Pos Pos Yes
CSF Bor Pos
M/65 10 Fever, cephalea, meningism, vertigo, cerebellar ataxia; CSF: pleocytosis ME 30 Serum Pos Pos Pos Yes
CSF Bor Bor
F/60 14 Fever, cephalea, meningism, vertigo, cerebellar ataxia; CSF: pleocytosis ME 25 Serum Pos Pos Pos Yes
CSF Pos Pos
M/44 9 Fever, cephalea, meningism, vertigo, cerebellar ataxia; CSF: pleocytosis ME 9 Serum Pos Pos Pos Yes
CSF Pos Bor
F/37 NA None NA 0 Serum Pos Pos Pos Yes
F/7 NA None NA 0 Serum Pos Pos Pos Yes
F/45 NA None NA 0 Serum Neg Neg Neg No

*TBEV, tick-borne encephalitis virus; NT, neutralization test; CSF, cerebrospinal fluid; Ig, immunoglobulin; ME, meningioencephalitis; pos, positive; bor, borderline; NA, not applicable; neg, negative.

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