Meningitis with cranial polyneuritis and cavernous sinus thrombosis by Borrelia crocidurae: First autochthonous case in Europe.

Authors:
Lisa Malincarne
Lisa Malincarne
University of Perugia
Peru
Elisabetta Schiaroli
Elisabetta Schiaroli
University of Perugia
Italy
Alessandra Ciervo
Alessandra Ciervo
Department of Infectious
Tripoli | Libya
Maurizio Paciaroni
Maurizio Paciaroni
University of Perugia
Peru
Fabiola Mancini
Fabiola Mancini
Azienda Ospedaliero-Universitaria Careggi Firenze
Italy
Maria Grazia Paglia
Maria Grazia Paglia
National Institute for Infectious Diseases Lazzaro Spallanzani I.R.C.C.S.
Italy

Int J Infect Dis 2019 May 25;82:30-32. Epub 2019 Feb 25.

Infectious Diseases Clinic, Department of Medicine, Perugia University, Perugia, Italy.

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.

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Source
http://dx.doi.org/10.1016/j.ijid.2019.02.028DOI Listing
May 2019
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