Afebrile meningoencephalitis with transient central facial paralysis due to Toscana virus infection, southeastern France, 2014 [corrected]

Euro Surveill. 2014 Dec 4;19(48):20974. doi: 10.2807/1560-7917.es2014.19.48.20974.

Abstract

We report a case of meningoencephalitis caused by Toscana virus (TOSV) with central facial paralysis lasting over two days acquired in south-eastern France. The patient was not febrile either before or during the course of the disease. The diagnosis was established by both real-time RT-PCR and virus isolation with complete genome sequencing. This case emphasises the need to consider TOSV in non-febrile neurological syndromes in people living in or having travelled to the Mediterranean area.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acyclovir / therapeutic use
  • Adult
  • Amoxicillin / therapeutic use
  • Animals
  • Anti-Bacterial Agents / therapeutic use
  • Antiviral Agents / therapeutic use
  • Bunyaviridae Infections / diagnosis*
  • Bunyaviridae Infections / drug therapy
  • Ceftriaxone / therapeutic use
  • Facial Paralysis / etiology*
  • Female
  • France
  • Genome, Viral / genetics
  • Humans
  • Insect Vectors / virology
  • Meningoencephalitis / diagnosis*
  • Meningoencephalitis / virology
  • RNA, Viral / genetics
  • RNA, Viral / isolation & purification
  • Reverse Transcriptase Polymerase Chain Reaction
  • Sandfly fever Naples virus / genetics
  • Sandfly fever Naples virus / isolation & purification*
  • Sequence Analysis, RNA
  • Treatment Outcome

Substances

  • Anti-Bacterial Agents
  • Antiviral Agents
  • RNA, Viral
  • Ceftriaxone
  • Amoxicillin
  • Acyclovir