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

Lisa Malincarne, Elisabetta Schiaroli, Alessandra Ciervo, Vittoria Scaglione, Maurizio Paciaroni, Fabiola Mancini, Maria Grazia Paglia, Salvatore Cardaci, Maria Bruna Pasticci, Daniela Francisci, Franco Baldelli

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)30-32
Number of pages3
JournalInternational Journal of Infectious Diseases
Volume82
DOIs
Publication statusPublished - May 1 2019

Keywords

  • Autochthonous
  • Borrelia crocidurae
  • Cavernous sinus thrombosis
  • Cranial polyneuritis
  • Europe
  • Meningitis

ASJC Scopus subject areas

  • Microbiology (medical)
  • Infectious Diseases

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