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Meningoencephalitis in a Royal Marine after skinning reindeer in Norway.

Pollard, Christopher A and Burns, D S and Ho, B and Johnston, A McD (2017) Meningoencephalitis in a Royal Marine after skinning reindeer in Norway. Journal of the Royal Army Medical Corps. ISSN 0035-8665. This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs

Full text not available from this repository.
Official URL: http://jramc.bmj.com/content/early/2017/11/18/jram...

Abstract

Meningoencephalitis presenting in service personnel overseas may present a diagnostic challenge due to the broad range of potential differential diagnosis as well as the requirement for rapid assessment and treatment. A 25-year-old Royal Marine was evacuated to the Royal Centre for Defence Medicine in Birmingham, UK, with a history of rash consistent with erythema chronicum migrans, a seizure, and lymphocytic pleocytosis after skinning reindeer in Norway. Neuroborreliosis was suspected and empirical antibiotics were administered. Despite subsequent negative serology for Borrelia burgdorferi, given the clinical features and lymphocytic pleocytosis, an atypical presentation of neuroborreliosis remains a possible diagnosis in this scenario. This case serves to illustrate that British military personnel on exercise are potentially at risk of contracting borreliosis both in the UK and abroad, serological tests can be unreliable, and the differential diagnosis of meningoencephalitis can be broad with specialist input often required.

Item Type: Article
Additional Information: This article is available to all HEFT staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their HEFT Athens login IDs
Subjects: WC Communicabable diseases
Divisions: Clinical Support > Infectious Diseases
Related URLs:
Depositing User: Miss Emily Johnson
Date Deposited: 26 Jan 2018 13:45
Last Modified: 26 Jan 2018 13:45
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/1529

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