Department of Infectious Diseases and Neuroinfections, Medical University of Białystok, Białystok.
Neurol Neurochir Pol. 2011 Jul-Aug;45(4):402-6. doi: 10.1016/s0028-3843(14)60113-4.
Tick-borne encephalitis (TBE) is a disease which may present as meningitis, encephalomeningitis and myeloencephalomeningitis. The course of the disease is usually mild although it may result in the patient's death in 1-4% of cases. Patients with myeloencephalomeningitis are the most endangered group, but also encephalomeningitis may have a fatal outcome. There are many risk factors which influence the severity of TBE, including patient's age, immunosuppression and concomitant diseases. We present four cases of patients who died because of TBE. The aim of the paper was to underline that in elderly patients or patients suffering from chronic diseases and additional infections, special attention should be paid to their treatment, including mechanical ventilation and steroid use.
蜱传脑炎（TBE）是一种可能表现为脑膜炎、脑膜脑炎和脑脊髓炎的疾病。尽管该病在 1-4%的病例中可能导致患者死亡，但通常病情较轻。患有脑脊髓炎的患者是最危险的群体，但脑膜脑炎也可能导致致命后果。有许多影响 TBE 严重程度的风险因素，包括患者年龄、免疫抑制和合并症。我们报告了四例因 TBE 而死亡的患者。本文的目的是强调在老年患者或患有慢性疾病和其他感染的患者中，应特别注意他们的治疗，包括机械通气和使用类固醇。
