Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

Volume 19, Number 5—May 2013

Dispatch

Tick-borne Encephalitis Associated with Consumption of Raw Goat Milk, Slovenia, 2012

Neda Hudopisk, Miša Korva, Evgen Janet, Marjana Simetinger, Marta Grgič-Vitek, Jakob Gubenšek, Vladimir Natek, Alenka Kraigher, Franc Strle, and Tatjana Avšič-ŽupancComments to Author 
Author affiliations: Regional Public Health Institute, Ravne na Koroškem, Slovenia (N. Hudopisk, E. Janet, M. Simetinger); Institute of Microbiology and Immunology, Ljubljana, Slovenia (M. Korva, T. Avšič-Županc); National Institute of Public Health, Ljubljana, Slovenia (M. Grgič-Vitek, A. Kraigher); University Medical Centre Ljubljana, Ljubljana (J. Gubenšek, F. Strle); Regional Hospital Slovenj Gradec, Slovenj Gradec, Slovenia (V. Natek)

Main Article

Table

Epidemiologic characteristics of persons in whom tick-borne encephalitis developed after drinking raw goat milk. Slovenia, 2012*

Patient no., age, y/sex
Date(s) milk consumed
Illness phase Date(s) serum sample obtained
First

Second
Virologic testing
Onset date; clinical signs; duration
Onset date; clinical signs; duration
TBEV ELISA
TBEV NT
TBEV rRT-PCR
IgM

IgG
1, 31/M
Apr 18
Apr 20; fever (38.0°C), chills, headache, vomiting, muscle aches, sore throat, sensitivity to light; nearly 1 wk

May 5; fever (39.8°C), headache, nausea, vomiting, photophobia, poor concentration, blurred vision, tremor; improvement after 8 d
May 8
Pos

Pos
Pos
Neg
2, 59/F
Apr 18
Apr 20; fever (<38.6°C), chills, malaise, loose stools; 5 d

May 3; fever (38.5°C) for 6 d, headache, nausea, confusion, visual disturbances, tremor; marked improvement after 12 d
May 8
Pos

Pos
Pos
Neg
3, 32/M Apr 17, 18, 20 Apr 20; fever (39.5°C); chills, fatigue, muscle pain; 4 d Not ill May 15 Pos Pos Pos Neg





Jun 6
Pos

Pos
Pos
ND
4, 28/M Apr 18 Not ill Not ill May 15 Neg Pos Pos Neg
Jun 6 Neg Pos Pos ND

*Except for patient 4, no patients were vaccinated against tick-borne encephalitis. For patients 1 and 2, the incubation period was 2 d; for patient 3, the incubation period was 2–3 d. Patient 1 refused hospitalization and was treated as an outpatient; patient 2 was hospitalized for 8 d; patient 3 did not seek medical care. TBEV, tick-borne encephalitis virus; NT, neutralization test; rRT-PCR, real-time reverse transcription PCR; Pos, positive; Neg, negative; ND, not done.

Main Article

TOP