TY - JOUR
T1 - Meningitis with cranial polyneuritis and cavernous sinus thrombosis by Borrelia crocidurae
T2 - First autochthonous case in Europe
AU - Malincarne, Lisa
AU - Schiaroli, Elisabetta
AU - Ciervo, Alessandra
AU - Scaglione, Vittoria
AU - Paciaroni, Maurizio
AU - Mancini, Fabiola
AU - Paglia, Maria Grazia
AU - Cardaci, Salvatore
AU - Pasticci, Maria Bruna
AU - Francisci, Daniela
AU - Baldelli, Franco
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Borrelia crocidurae is endemic in West Africa, where it represents the leading cause of tick-borne relapsing fever (TBRF). TBRF typically presents with high fever and systemic symptoms, followed by recurrent episodes. Neurological complications may occur during febrile relapses. B. crocidurae is considered the most neurotropic agent of TBRF and is associated to severe neurological manifestations i.e. meningitis and encephalitis. To date, European cases of B. crocidurae infection have been reported in travelers returning from endemic areas. We report the first autochthonous case in Europe of B. crocidurae infection, presenting as meningitis with cranial polyneuritis and cavernous sinus thrombosis that were not preceded by classic febrile recurrences.
AB - Borrelia crocidurae is endemic in West Africa, where it represents the leading cause of tick-borne relapsing fever (TBRF). TBRF typically presents with high fever and systemic symptoms, followed by recurrent episodes. Neurological complications may occur during febrile relapses. B. crocidurae is considered the most neurotropic agent of TBRF and is associated to severe neurological manifestations i.e. meningitis and encephalitis. To date, European cases of B. crocidurae infection have been reported in travelers returning from endemic areas. We report the first autochthonous case in Europe of B. crocidurae infection, presenting as meningitis with cranial polyneuritis and cavernous sinus thrombosis that were not preceded by classic febrile recurrences.
KW - Autochthonous
KW - Borrelia crocidurae
KW - Cavernous sinus thrombosis
KW - Cranial polyneuritis
KW - Europe
KW - Meningitis
UR - http://www.scopus.com/inward/record.url?scp=85063238133&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85063238133&partnerID=8YFLogxK
U2 - 10.1016/j.ijid.2019.02.028
DO - 10.1016/j.ijid.2019.02.028
M3 - Article
AN - SCOPUS:85063238133
SN - 1201-9712
VL - 82
SP - 30
EP - 32
JO - International Journal of Infectious Diseases
JF - International Journal of Infectious Diseases
ER -