Page 118 - TBE_Book_V2_2019
P. 118

Chapter 5: TBE in adults


          Table 1:  Overview of TBE long-sequelae in prospective and retrospective studies


























































          Seroconversion  without  any  obvious  clinical   Clinical presentations of the
          signs  is  common  and  well  documented,   neurological (second) phase
          especially  in  populations  that  are  highly
                                 47
          exposed  to TBEV and ticks.  In a study from   The exact  mechanism by which TBEV crosses
                 48
          Sweden,   25%  of  infected  individuals    the  blood–brain  barrier  and  invades  the  CNS
          developed CNS disease. This proportion seems   remains  unclear.  There  are  4  proposed
          to  be  lower  with  the  TBEV-Sib  and  TBEV-FE   mechanisms: I. Cytokine  mediated (targeting
          subtypes,  where  70–95%  of  infections  are   the   endothelium)   whereby   cytokines
                                             49
          reported to remain without any symptoms.
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