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Toscana virus encephalitis following a holiday in Sicily
  1. Jane C Osborne1,
  2. Elham Khatamzas1,2,
  3. Anjum Misbahuddin3,
  4. Rachel Hart1,
  5. Anand Sivaramakrishnan4,
  6. David P Breen5
  1. 1Rare and Imported Pathogens Laboratory, Public Health England, Porton Down, UK
  2. 2Department of Microbiology and Infectious Diseases, Oxford University Hospital NHS Trust, Oxford, UK
  3. 3Essex Centre for Neurological Sciences, Queen's Hospital, Romford, UK
  4. 4Department of Microbiology, Queen's Hospital, Romford, UK
  5. 5Department of Neurology, Addenbrooke's Hospital, Cambridge, UK
  1. Correspondence to Dr David P Breen, Department of Neurology, Addenbrooke's Hospital, Box 165, Hills Road, Cambridge CB2 0QQ, UK; dpbreen1{at}


We report a case of Toscana virus encephalitis. This emerging pathogen is among the three most common causes of meningoencephalitis in Europe during the warm season, yet remains under-recognised. Doctors should consider Toscana virus infection in patients presenting with neurological symptoms who have a relevant exposure history during the summer months.


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