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Increasing evidence of tick-borne encephalitis (TBE) virus transmission, the Netherlands, June 2016.

Adriaan Cg Weststrate, Daan Knapen, Gozewijn D Laverman, Bart Schot, Jan Jw Prick, Silke A Spit, Johan Reimerink, Barry Rockx, Felix Geeraedts
Euro Surveillance 2017 March 17
We present a case of endemic tick-borne encephalitis (TBE) occurring in June 2016 in the eastern part of the Netherlands in an area where a strain of TBE virus, genetically different from the common TBE virus strains in Europe, was reported in ticks in 2016. With the start of the tick season in spring, this second autochthonous Dutch TBE case should remind physicians to consider the possibility of endemic TBE in patients with respective symptoms.

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