Abstract
We report a severe case of imported Japanese encephalitis (JE) in a healthy young Spanish traveller who developed symptoms after spending three weeks in a touristic area of Thailand. The patient was diagnosed in Thailand and subsequently transferred to Barcelona, Spain, where the Thai laboratory results were confirmed based on IgM serology. Although JE is a rare disease in travellers, this case illustrates the need for seeking travel medical advice before visiting tropical countries.
Highlights
A 20 year-old Spanish man, without relevant past medical history, travelled to Thailand on 25 January 2013 to participate in a martial art competition
A serum sample was obtained and an immunofluorescence assay against four flaviviruses was performed (Euroimmun). This test detects antibodies against Japanese encephalitis virus (JEV), Figure Brain magnetic resonance images of a Spanish traveller returning from Thailand with Japanese encephalitis 35 days post-onset of symptoms, Spain, 26 March 2013
There is an effective vaccine against the disease, recommended for travellers depending on the destination, season, activities and duration of the trip [9,10]
Summary
Citation style for this article: Doti P, Castro P, Martínez MJ, Zboromyrska Y, Aldasoro E, Inciarte A, Requena A, Milisenda J, Fernández S, Nicolás JM, Muñoz J. A case of Japanese encephalitis in a 20 year-old Spanish sportsman, February 2013. We report a severe case of imported Japanese encephalitis (JE) in a healthy young Spanish traveller who developed symptoms after spending three weeks in a touristic area of Thailand. The patient was diagnosed in Thailand and subsequently transferred to Barcelona, Spain, where the Thai laboratory results were confirmed based on IgM serology. JE is a rare disease in travellers, this case illustrates the need for seeking travel medical advice before visiting tropical countries
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