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. 2009 Oct;15(10):1671-3.
doi: 10.3201/eid1510.090743.

Tick-borne encephalitis from eating goat cheese in a mountain region of Austria

Heidemarie Holzmann  1 , Stephan W Aberle, Karin Stiasny, Philipp Werner, Andreas Mischak, Bernhard Zainer, Markus Netzer, Stefan Koppi, Elmar Bechter, Franz X Heinz
Affiliations

Tick-borne encephalitis from eating goat cheese in a mountain region of Austria

Heidemarie Holzmann et al. Emerg Infect Dis. 2009 Oct.

Abstract

We report transmission of tick-borne encephalitis virus (TBEV) in July 2008 through nonpasteurized goat milk to 6 humans and 4 domestic pigs in an alpine pasture 1,500 m above sea level. This outbreak indicates the emergence of ticks and TBEV at increasing altitudes in central Europe and the efficiency of oral transmission of TBEV.

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Figures

Figure
Figure
Time course and series of events of a tick-borne encephalitis (TBE) outbreak from cheese made with goat milk. Week 0, transport of goat to high altitude; ►, onset of disease; O—I, hospitalization period; TBEV, tick-borne encephalitis virus; ME, meningoencephalitis.
See this image and copyright information in PMC

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