Avtor/Urednik		Lešničar, Gorazd
Naslov		Klopni meningoencefalitis pri otrocih na Celjskem
Prevedeni naslov		Tick-borne meningoencephalitis in children at Celje region
Tip		članek
Vir		Med Razgl
Vol. in št.		Letnik 37, št. Suppl 1
Leto izdaje		1998
Obseg		str. 135-44
Jezik		slo
Abstrakt		During 1952-1997 1753 patients with tick borne meningoencephalitis (TBE) including 410 children (23.4%) up to 14 years of age were treated at the Department for Infectious Diseases and Febrile States at Celje Genegal Hospital (which serves ca 270,000 inhabitants of the Celje Health Authority region, that is about 13% of the population of Slovenia). The disease is more frequent in boys - 288 cases (70.2%). During the last two decades we observed a lower general morbidity in children with TBE and a slight and short lasting clinical course of disease. 259 patients (32.2%) showed a picture of meningitis and 151 patients (36.8%) slight meningoencephalitis. Only in a few infected children were a disturbance of consciousness, a long lasting cephalea, a disturbance of behaviour and pathological EKG transitively observed. In one patient a transitive one side paresis of the facial nerve was developed. There were no permanent consequences or paresis and none of the patients died. None of the children had been vaccinated with TBE vaccine. In recent years double infections with TBE virus and Borrelia burgdorferi sensu lato were observed. From 1993 to 1997 58 children (37 boys and 21 girls) with TBE were cured, 8 (12.7%) of them with concomitant infection with Borrelia. We recommend vaccination of children who live in endangered areas or who freguently visit endemic areas before entering school. Since 1952 TBE has been endemic and limited to the same areas in the north-west foothills of the Savinian Alps, especially in the communities of Mozirje, Velenje and Žalec.
Izvleček		Na Oddelku za nalezljive bolezni in vročinska stanja Splošne bolnišnice Celje smo od l. 1952 do 1997 zdravili 1753 bolnikov s klopnim meningoencefalitisom, od tega 410 otrok (23,4%) od 14. leta starosti. Pogosteje so obolevali dečki - 288 primerov bolezni (70,2%). V zadnjih dveh desetletjih je bil klinični potek klopnega meningoencefalitisa pri otrocih vseskozi blag in kratkorajen. Pri 259 bolnikih (63,2%) je potekal s klinično sliko meningitisa, pri 151 (36,8) pa z večinoma lažjim meningoencefalitisom. Le pri redkih obolelih otrocih smo pred tem opazili motnje zavesti, dolgorajnejši glavobol, vedenjske motnje, patološki EEG, pri enem bolniku pa prehodno enostransko parezo obraznega živca. Nihče ni imel trajnih posledic oz. ohromitev, prav tako nobeden od otrok ni umrl. Nobeden izmed obolelih otrok in bil predhodno cepljen z vakcino proti klopnemu meningoencefalitisu. V zadnjih letih smo opazali tudi dvojne okužbe z virusom klopnega meningoencefalitisa in Borrelio burgdorferi sensu lato. Teh je bilo v obdobju 1993-1997 pri 58 otrocih (37 dečkih in 21 deklicah) s klopnim meningoencefalitisom 8 (12,7%). Priporočamo, da bi otroke, ki bivajo na ogroženih območjih oz. jih pogosto obiskujejo, še pred vstopom v šolo cepili. Klopni meningoencefalitis je namreč od l. 1952 endemičen in omejen na ista krajevna območja v severovzhodnem vznožju Savinjskih Alp, zlasti občine Mozirje, Velenje in Žalec.
Deskriptorji		ENCEPHALITIS, TICK-BORNE LYME DISEASE CHILD SEASONS AGE FACTORS