Tick-borne encephalitis virus in dogs - is this an issue?
© Pfeffer and Dobler; licensee BioMed Central Ltd. 2011
Received: 7 March 2011
Accepted: 13 April 2011
Published: 13 April 2011
The last review on Tick-borne encephalitis (TBE) in dogs was published almost ten years ago. Since then, this zoonotic tick-borne arbovirus has been geographically spreading and emerging in many regions in Eurasia and continues to do so. Dogs become readily infected with TBE virus but they are accidental hosts not capable to further spread the virus. They seroconvert upon infection but they seem to be much more resistant to the clinical disease than humans. Apart from their use as sentinels in endemic areas, however, an increasing number of case reports appeared during the last decade thus mirroring the rising public health concerns. Owing to the increased mobility of people travelling to endemic areas with their companion dogs, this consequently leads to problems in recognizing and diagnosing this severe infection in a yet non-endemic area, simply because the veterinarians are not considering TBE. This situation warrants an update on the epidemiology, clinical presentation and possible preventions of TBE in the dog.
Introduction and epidemiology of TBE
Tick-borne encephalitis (TBE) is the most important tick-borne viral disease of humans in Eurasia with an estimated annual number up to 10,000 cases in Russia and 3,000 cases in Europe [1–5]. TBE is caused by the zoonotic tick-borne encephalitis virus (TBEV), a member of the genus Flavivirus within the Flaviviridae family . It is classified as a single virus species with three subtypes, i.e. the European subtype, the Siberian subtype (mainly isolates east of the Ural and Siberia) and the Far Eastern subtype (mainly isolates from far-eastern Russia, China and Japan) together representing the geographic distribution of the virus [6, 7]. The three TBE virus subtypes are differing with regard to disease severity [1, 8, 9]. The most severe form of TBE infections with Far Eastern subtype TBE viruses can cause severe febrile illness, frequently associated with encephalitis and a fatality rate up to 35% [10, 11]. In contrast, TBE virus infections of the Siberian subtype cause a less severe disease (fatality rate between 1 and 3%). However, these clinical infections have a tendency to become a chronic disease or to cause extremely prolonged infections in some patients [12, 13]. Infections caused by European strains typically take a biphasic course. The first viraemic phase presents with fever, malaise, headache, myalgia, sometimes gastrointestinal symptoms, leukocytopenia, thrombocytopenia and elevated liver enzymes after an incubation period of one to two weeks. These non-specific symptoms last for about 2-4 days, often followed by a symptom-free interval of up to one week. The second phase of TBE occurs in approximately one-quarter of the infected patients and shows the clinical signs of meningitis, meningoencephalitis, meningoencephalomyelitis or meningoencephaloradiculitis of different severity. The fatality rate in adult patients is comparable to that caused by the Siberian subtype TBE virus, but is usually less than 2%. However, neurological sequelae may last for months or even years .
The European TBE virus strains are almost exclusively vectored by Ixodes ricinus while I. persulcatus serves as vector for the two other subtypes [25, 26]. Although the virus has been isolated from several other tick species in nature [27, 28], only the two mentioned ixodid tick species appear to play an important role in virus maintenance . Dermacentor nuttalli, however, may share this role in southern Siberia and northern Mongolia (unpublished results). Nevertheless, the epidemiology of TBE is tightly linked to the local national history of ixodid ticks [1, 4, 9, 25, 29], and the prevalence of infected ticks within the risk areas can vary considerably [1, 8, 25, 29, 30]. Countries with high-risk areas (incidence of clinical TBE cases is > 10 per 105 inhabitants) are Russia, Latvia, Lithuania, Slovenia, and Estonia. TBE is also a significant issue in Germany, the Czech Republic, Poland, Switzerland, Sweden, Finland, Slovakia, and Hungary [31, 32]. Although TBE seems to have a minor public health impact in Denmark, France, Greece, Italy and Norway, new TBE foci or possible occurrences of TBE virus were reported here [33–37]. Austria is the only country with progressively decreasing incidences since 1981 due to its vaccination policy , but the occurrence of TBE may be relevant to unvaccinated tourists and their accompanying dogs. There are only few studies investigating the TBE prevalence in domestic animals and even less including dogs [39–41].
The last review on Tick-borne encephalitis (TBE) in dogs was published almost ten years ago . In light of the increase of TBE incidence that has been observed in the risk areas in some of the endemic countries mentioned above , we feel it warranted to review the current knowledge of TBE in dogs and to plot fields for future research.
Dogs, ticks and TBE
Tick infestation in dogs is a well recognized world-wide problem. The Ixodidae alone compromise 702 tick species in 14 genera , but not all of them parasitize dogs. Depending on the geographic area, the tick species associated with dogs differ considerably. In North America, for example, virtually all ticks found on dogs are brown dog ticks (Rhipicephalus sanguineus), American dog ticks (Dermacentor variabilis), Rocky Mountain wood ticks (D. andersoni), Western dog ticks (D. occidentalis), Lone Star ticks (Amblyomma americanum), Gulf Coast ticks (A. maculatum), deer ticks (Ixodes dammini), blacklegged ticks (I. scapularis), and woodchuck ticks (I. cookei) [44, 45]. Studies from northern Brazil further demonstrate that the tick species composition varies between urban dogs (exclusively R. sanguineus infested) and dogs from rural areas (at least four species including R. sanguineus) [46, 47]. As outlined above, none of the previously listed tick species is involved in the natural transmission of TBE virus, because TBE virus is not yet prevalent in these regions. However, I. cookei and I. scapularis were shown to be naturally infected with the closely related Powassan virus in North America [48, 49]. Experimental data on transmission potential and vector capacity of ticks exclusively occurring in the New World are not available for TBE virus. The most abundant ticks in northern Europe, the castor bean tick, I. ricinus, and the Taiga tick, I. persulcatus, are transmitting TBE virus. Both of them parasitize dogs. In Japan, I. ovatus, another Ixodes tick species frequently feeding on dogs, is supposed to vector TBE virus . With their furry coats, the close proximity to the ground and their behavior in seeking and exploring, dogs are 50 to 100 times more likely to come in contact with disease-carrying ticks than humans . Walking the dog and leisure activity has been identified as important risk factors for humans to aquire a TBE virus infection [25, 52]. Being a dog owner in an endemic area is thus enhancing the risk to be bitten by a tick, simply because of the time spent outdoors and the increased exposure when compared with people not regularly walking a dog. In addition, ticks attached to the dogs are brought home where they may infest humans, in particular children, who are also playing with the animals indoors. Meanwhile TBE has become an accepted issue in human travel medicine [53, 54]. Since the establishment of the EU, traveling between European (and to some extent to Eurasian) countries has become much easier and millions of holiday or business tourists from non-endemic countries are visiting endemic areas within the time of the year when ticks are active and transmission of TBE virus can occur. While an increasing but still small percentage of these people consider to get vaccinated against TBE, none is aware of the fact that the accompanying dogs are much more likely to become infected due to the reasons outlined above .
Clinical signs and Diagnosis
Tick-borne encephalitis virus in Carnivora and Canidae
Animal species a
Wolf puppies i.c.
Paresis, convulsions, encephalitis, death
Adult foxes i.c.
Foxes, badgers, weasels via Ixodes ricinus
Dog puppies s.c. and via Haemaphysalis inermis and Dermacentor marginatus ticks
No clinic in puppies infected via tick, weakness in extremities in s.c. infected puppies
Low level viremia found irregularly
Yes (first documented clinical case of TBE in a dog)
1 Landseer (4.5 years old)
Aggressiveness, fever, tremor paresis, meningitis, seizures, cramp of front legs
Yes (first isolate form a dog after natural infection)
5 dogs (2 Rottweiler, 1 Greyhound, 1 Husky, 1 Golden Retriever)
Ataxia, tetraparesis, fever, seizures of grand male-type
IgM in CSF in 2 dogs. All were euthanized and diagnoses were confirmed by IHC
3 Husky, 1 Terrier-mix, 1 Rottweiler, 1 Irish setter, 1 Bastard, 1 Pekingese
Convulsion, tremor, ataxia, hyperesthesia, hemi-/tetraplegia, recumbency, opisthotonus, seizures, anisocoria, miosis, nystagmus
Immunohistology in brain tissue positive in 5 dogs, but pathohistological changes were similar in the remaining three dogs
1 Rottweiler (4 years old), 1 Newfoundland dog (6 years old)
Fever, hyperaesthesia, seizures opistotonus, facialparesis, strabismus, sensoric loss (head)
Yes (both dogs)
1 (Riesenschnauzer, 2.5 years old)
Fever, aggressiveness, ataxia, shivering
Fever, ataxia, shivering, agressivness, quadriplegia
Ataxia, tremor, sensoric loss
Fever, ataxia, tremor, pain, head shaking. Both fully recovered after 1 year
1 mix-breed (12 years old)
Polypneu, ataxia, weakness, diffuse pain (euthanized)
n.d. (PCR and IHC of brain tissue positive)
About 1.000 dogs
No clinic relating to CNS symptoms
Between < 2% (northern states) and 31% (Bodensee area)
1994 & 1995
10 sentinel dogs each year (Ixodes ovatus)
3 virus isolates, Far-Eastern subtype
Japan, high Ab-titers upon seroconversion
In three Rottweiler dogs with meningoencephalitis or encephalitis
 Czech Republic
5 seropositive (3.3%)
Clinical signs in 57 of the seropositive dogs
133 seropositive (24.1%, ELISA); 110 confirmed by NT (19.9%)
 Southern Norway
52 seropositive (16.4%)
54 healthy & 56 dogs with neurological symptoms
Neurological symptoms not further specified
17/54 seropositive; 30/56 seropositive
30% ELISA-, 4.8% NT-antibodies
 Belgium d
1 seropositive (0.1%) d
Since clinical signs vary, laboratory confirmation of the etiological agent causing the encephalitic outcome is needed. Haematology may show physiological leucocyte counts, but the differential blood count may indicate a monocytosis and a lymphopenia or a leucopenia with physiological counts of both monocytes and lymphocytes . Elevated total leucocyte and mononuclear cell counts as well as high protein concentration in the liquor are typical indicators for an encephalitis and are commonly described in cases of clinical TBE in the dog [58, 59].
Specific diagnostic procedures to confirm clinically suspected TBE include detection of TBE virus in the serum during viremia by one of the many published RT-PCRs or real-time RT-PCRs [e.g. 62]. Viral antigen can also be detected by immunohistopathology of brain tissues after necropsy [60, 63]. In most cases, the initial supposition does not include TBE and thus this diagnostic will probably be requested too late after the infection to detect virus. Hence, laboratory confirmation of TBE is mostly done by serology. Antibody titers against TBE virus can be measured either by indirect immunofluorescence assays (IFA, Euroimmune, Lübeck, Germany) or an all-species ELISA (Progen Biotechnik GmbH, Heidelberg, Germany). Detection of IgM or the four-fold rise in IgG antibodies in a serum pair taken about two weeks apart confirms the diagnosis. Serology in flaviviral infections in humans is notoriously hampered by cross-reactivity between other infections or vaccinations such as dengue-, Japanese encephalitis- or yellow fever viruses. In the case of dogs, the only possible cross-reactivity which may interfere with the serological confirmation of a TBE case could be an infection of the dog with West Nile virus (WNV), another flavivirus that has a growing geographic range in Eurasia and which is partially overlapping with the known distribution of TBE. However, dogs do not become readily infected with WNV, so at least to what is known to date, serological diagnosis of TBE in dogs is confirmative.
Another issue to be considered in serodiagnosing TBE is that only a rise in the specific antibody titres in paired sera is conclusive when seroprevalence rates of more than 30% are known in endemic areas . Although not particularly shown for dogs in endemic areas, it is known from cattle in Hungary that animals of older age groups have significantly higher seroprevalence rates than those of younger age groups. This could either argue for longevity of TBE virus-specific antibodies or a higher frequency of encountering TBE virus-infected ticks over time . However, whether this applies to dogs as well and thus has to be kept in mind while verifying the diagnosis serologically is not known and might be subject of further studies. Nevertheless, there is no case definition formulated for TBE in dogs, but positive serological results in conjunction with time spent in known endemic areas is what we consider a confirmed case. The known history of tick bites is a further epidemiological link, but not necessary for confirming the diagnosis. This is mainly because dogs are supervised and inspected with different intensities and thus ticks may easily be overlooked.
Pathology, Treatment and Prevention
The dominating pathological picture is that of a massive encephalitis while visceral organs are without gross lesions or histopathological findings. The meningoencephalitis is non-suppurative and characterized by necrosis of both neurons and glia cells. Almost the entire brain shows typical signs of inflammation like perivascular cuffs and infiltration (lymphocytes, histiocytes and plasma cells), neuronophagy, glial nodules or diffuse gliosis [60, 63]. Pathological changes were most prominent in the brain stem and the cerebellum . Based on the probably most comprehensive investigation by Kirtz in 1999 , the neurostructures related to the clinical symptoms are the thalamus (66%, fever and 54% altered consciousness and behavior), the cerebral cortex (54%, the same symptoms as above), the mesencephalon (42%, proprioceptive deficit), the spinal cord (37%, motor neuron deficit), meninges (21%, hyperalgesia in the neck), brainstem (20%, head tilt, facial paresis, nystagmus, strabismus), cerebral cortex and thalamus (12%, seizures). Taken together, the neuropathology of TBE in dogs is largely consistent with the neuropathology of TBE in humans .
Because no causal treatment exists to fight TBE, treatment is solely symptomatic. Emphasis has to be put on preventing secondary harm to the patient itself as well as the owner during convulsions and aggressive behavior. For that reason, therapy should include resting as well as anticonvulsive and sedative medication. The application of dexamethasone and its possible beneficial effect is controversially discussed: given too early in the course of infection, the glucocorticoide may prolong the destructive viral activity, but when administered during the reconvalence phase, a fast decline of symptoms was observed [60, 66]. Non-steroidal anti-inflammatory drugs (NSAID) are best used to combat the high fever, and antibiotics should be given to prevent secondary bacterial infections, in particular pneumonia . Most of the few dogs, that survived a clinical TBE needed between a half and one year to fully recover. As with in human cases, an intensive physical therapy seems to be a key issue in the process of training and compensating the loss of neuronal damage caused by the severe inflammation of the central nervous system.
Preventative measures are therefore very important and they are primarily targeting the prevention of tick bites. One problem when dealing with three-host ticks (Figure 1) is the fact that the majority of reproducing ticks is not feeding on the dog but rather on wildlife hosts. As we are limited in our ability to manage ticks on their "natural" hosts, reinfestation of dogs is common requiring protracted use of acaricides . There are many powerful anti-ectoparasite drugs with acaricide function of up to four weeks on the market, which can be easily applied in a spot-on or pour-on by the dog owner. Since a dog needs to be walked, this is the most effective way to prevent infection via ticks in an endemic area. Numerous studies have shown the often excellent efficacy of products containing acaricides such as amitraz, fipronil, and permethrin against ticks infesting dogs [reviewed in ]. If a dog is treated with an effective acaricide, and encounters only a few ticks, it is likely that all these ticks will be killed. However, if tick exposure is considerably larger, a few ticks may still be remaining on these dogs and, when observed by pet owners, they may perceive a lack of efficacy. One of the most commonly practiced solutions to this problem is to increase the frequency of acaricide application on the dog . Since the current classes of acaricides, which are orders of magnitude less toxic for the dog and the environment than formerly used DDT or lindane formulations, this practice does not cause harm to the dog patient. Topical application also reduces systemic levels of the active ingredients and is localized directly on the skin, the critical interface for bloodsucking ticks . The costs and benefits of regularly using topicals to reduce tick infestation needs to comprise the estimated and potential burden of ill health due to TBE virus infection and other tick-borne diseases or owner attitudes towards ectoparasitism as well as the estimated burden due to the documented attributable toxic effects of the preventative compound . Although it still seems that clinical TBE in dogs is a rare event, such an analysis is likely to conclude that the benefits of topicals outweigh their slight risk of toxicity.
In Europe, there are currently two vaccines licensed for human use, including special formulations or vaccination schemes for infants and older patients. None of the two companies (Novartis and Baxter) has their TBE vaccines licensed for any animal use including dogs. However, vaccines from both companies have been successfully used to vaccinate various animal species (e.g. sheep, goat, roe deer, dogs) without any adverse effect. Antibody titers measured either in IFA or ELISA suggest, that in all cases, a protective immune response was induced through vaccination with human vaccines (69, M. Niedrig, RKI, Berlin, pers. communication, own unpublished results). Hence, vaccination of dogs should be considered an effective preventive measure in highly endemic areas.
Seroprevalence studies in areas of Eurasia where TBE virus is endemic clearly show that dogs are highly susceptible to an infection. For yet unknown reasons, clinical manifestation seems to be a rare event, but then likely to have a fatal outcome. Increasing numbers of case reports describing clinical TBE in dogs are found in the recent literature with some coming from previously non-endemic areas. This raises concerns with regard to a further geographical expansion of TBE virus-endemic areas, an increasing prevalence of TBE virus in the vector ticks and/or a change in virulence of the TBE virus strains involved. Regardless of the underlying reasons, these observations have implications for travel medicine in dogs. One major aim of this article is to raise awareness of the clinical picture of TBE in dogs so that this diagnosis may be considered in cases of neurological disorders even in yet non-endemic areas, but for example in dogs with a respective travel history. The currently known TBE virus-endemic areas should be known, so travel recommendations can be made including the application of the topical acaricides. Vaccines for human have impressively demonstrated that the incidence in humans can be dramatically reduced in highly endemic areas with the right vaccination policy. First results indicate that these vaccines can be used in dogs, but comprehensive studies on the safety and efficacy of the existing human vaccines in dogs are warranted in order to have alternative prevention measures at hand when they are needed. With increasing numbers of TBE cases in humans, a likewise increase of such cases in dogs may occur in the near future. Hence, we should monitor TBE virus infections in dogs regardless whether they present with clinical signs or only as a serconversion without an overt clinic.
Publication of the CVBD 6 thematic series has been sponsored by Bayer Animal Health GmbH. The work of MP is currently funded by Novartis, the work of GD is funded by the Federal Ministry of Education and Research (BMBF) grant 01KI 0712 as part of the network "Emerging arthropod-borne viral infections in Germany". Dr. J.O. Lundström, Uppsala, was of great help with translation of the Swedish literature.
- Charrel RN, Attoui H, Butenko AM, Clegg JC, Deubel V, Frolova TV: Tick-borne virus diseases of human interest in Europe. Clin Microbiol Infect. 2004, 10 (12): 1040-1055. 10.1111/j.1469-0691.2004.01022.x.View ArticlePubMed
- Lindquist L, Vapalahti O: Tick-borne encephalitis. Lancet. 2008, 371 (9627): 1861-1871. 10.1016/S0140-6736(08)60800-4.View ArticlePubMed
- Mansfield KL, Johnson N, Phipps LP, Stephenson JR, Fooks AR, Solomon T: Tick-borne encephalitis virus - a review of an emerging zoonosis. J Gen Virol. 2009, 90 (Pt 8): 1781-1794. 10.1099/vir.0.011437-0.View ArticlePubMed
- Heyman P, Cochez C, Hofhuis A, van der Giessen J, Sprong H, Porter SR: A clear and present danger: tick-borne diseases in Europe. Expert Rev Anti Infect Ther. 2010, 8 (1): 33-50. 10.1586/eri.09.118.View ArticlePubMed
- Süss J, Kahl O, Aspöck H, Hartelt K, Vaheri A, Oehme R, Hasle G, Dautel H, Kunz C, Kupreviciene N, Zimmermann HP, Atkinson B, Dobler G, Kutsar K, Heinz FX: Tick-borne encephalitis in the age of general mobility. Wien Med Wochenschr. 2010, 160 (3-4): 94-100.View ArticlePubMed
- Thiel HJ, Collett MS, Gould EA, Heinz FX, Houghton M, Meyers G: Flaviviridae. Virus Taxonomy: Classification and Nomenclature, Eight Report of the International Committee on the Taxonomy of Viruses. Edited by: Fauquet CM, Mayo MA, Maniloff J, Desselberger U, Ball, LA. 2005, Elsevier Academic Press, Amsterdam, The Netherlands, 981-998.
- Ecker M, Allison SL, Meixner T, Heinz FX: Sequence analysis and genetic classification of tick-borne encephalitis viruses from Europe and Asia. J Gen Virol. 1999, 80 (Pt 1): 179-185.View ArticlePubMed
- Gritsun TS, Lashkevich VA, Gould EA: Tick-borne encephalitis. Antiviral Res. 2003, 57 (1-2): 129-146. 10.1016/S0166-3542(02)00206-1.View ArticlePubMed
- Gunther G, Haglund M: Tick-borne encephalopathies: epidemiology, diagnosis, treatment and prevention. CNS Drugs. 2005, 19 (12): 1009-1032. 10.2165/00023210-200519120-00004.View ArticlePubMed
- Pugliese A, Beltramo T, Torre D: Emerging and re-emerging viral infections in Europe. Cell Biochem Funct. 2007, 25 (1): 1-13. 10.1002/cbf.1342.View ArticlePubMed
- Pogodina VV, Bochkova NG, Karan' LS, Frolova MP, Trukhina AG, Malenko GV: Comparative analysis of virulence of the Siberian and Far-East subtypes of the tick-born encephalitis virus. Vopr Virusol. 2004, 49 (6): 24-30.PubMed
- Gritsun TS, Frolova TV, Zhankov AI, Armesto M, Turner SL, Frolova MP: Characterization of a siberian virus isolated from a patient with progressive chronic tick-borne encephalitis. J Virol. 2003, 77 (1): 25-36. 10.1128/JVI.77.1.25-36.2003.PubMed CentralView ArticlePubMed
- Poponnikova TV: Specific clinical and epidemiological features of tick-borne encephalitis in Western Siberia. Int J Med Microbiol. 2006, 296 (Suppl 40): 59-62. 10.1016/j.ijmm.2006.01.023.View ArticlePubMed
- Holzmann H: Diagnosis of tick-borne encephalitis. Vaccine. 2003, 21 (Suppl 1): S36-40. 10.1016/S0264-410X(02)00819-8.View ArticlePubMed
- Moshkin MP, Novikov EA, Tkachev SE, Vlasov VV: Epidemiology of a tick-borne viral infectioin: theoretical insights and practical implications for public health. BioEssay. 2009, 31: 620-628. 10.1002/bies.200800196.View Article
- Labuda M, Kozuch O, Zuffova E, Eleckova E, Hails RS, Nuttall PA: Tick-borne encephalitis virus transmission between ticks cofeeding on specific immune natural rodent hosts. Virology. 1997, 235 (1): 138-143. 10.1006/viro.1997.8622.View ArticlePubMed
- Labuda M, Randolph SE: Survival strategy of tick-borne encephalitis virus: cellular basis and environmental determinants. Zentralbl Bakteriol. 1999, 289 (5-7): 513-524.View ArticlePubMed
- Pfeffer M, Dobler G: Emergence of zoonotic arboviruses by animal trade and migration. Parasites Vectors. 2010, 3: 35-10.1186/1756-3305-3-35.PubMed CentralView ArticlePubMed
- Gresikova M, Sekeyova M, Stupalova S, Necas S: Sheep milk-borne epidemic of tick-borne encephalitis in Slovakia. Intervirology. 1975, 5 (1-2): 57-61.PubMed
- Vereta LA, Skorobrekha VZ, Nikolaeva SP, Aleksandrov VI, Tolstonogova VI, Zakharycheva TA: The transmission of the tick-borne encephalitis virus via cow's milk. Med Parazitol (Moscow). 1991, 3: 54-56.
- Kerbo N, Donchenko I, Kutsar K, Vasilenko V: Tick-borne encephalitis outbreak in Estonia linked to raw goat milk, May-June 2005. EuroSurveill. 2005, 10 (6): E0506232-
- Holzmann H, Aberle SW, Stiasny K, Werner P, Mischak A, Zainer B: Tick-borne encephalitis from eating goat cheese in a mountain region of Austria. Emerg Infect Dis. 2009, 15 (10): 1671-1673.PubMed CentralView ArticlePubMed
- Kriz B, Benes C, Daniel M: Alimentary transmission of tick-borne encephalitis in the Czech Republic (1997-2008). Epidemiol Microbiol Immunol. 2009, 58 (2): 98-103.
- Balogh Z, Ferenczi E, Szeles K, Stefanoff P, Gut W, Szomor KN: Tick-borne encephalitis outbreak in Hungary due to consumption of raw goat milk. J Virol Methods. 2010, 163 (2): 481-485. 10.1016/j.jviromet.2009.10.003.View ArticlePubMed
- Randolph SE: Tick ecology: processes and patterns behind the epidemiological risk posed by ixodid ticks as vectors. Parasitology. 2004, 129 (Suppl): S37-65. 10.1017/S0031182004004925.View ArticlePubMed
- Jääskeläinen AE, Tonteri E, Sironen T, Pakarinen L, Vaheri A, Vapalahti O: European subtype tick-borne encephalitis virus in Ixodes persulcatus ticks. Emerg Infect Dis. 2011, 17 (2): 323-325.PubMed CentralView ArticlePubMed
- Gresikova M, Kaluzova M: Biology of tick-borne encephalitis virus. Acta Virol. 1997, 41 (2): 115-124.PubMed
- Krivanec K, Kopecky J, Tomkova E, Grubhoffer L: Isolation of TBE virus from the tick Ixodes hexagonus. Folia Parasitol (Praha). 1988, 35 (3): 273-276.
- Süss J: Epidemiology and ecology of TBE relevant to the production of effective vaccines. Vaccine. 2003, 21 (Suppl 1): S19-35.View ArticlePubMed
- Korenberg EI, Kovalevskii YV: Main features of tick-borne encephalitis eco-epidemiology in Russia. Zentralbl Bakteriol. 1999, 289 (5-7): 525-539.View ArticlePubMed
- Süss J: Tick-borne encephalitis in Europe and beyond--the epidemiological situation as of 2007. EuroSurveill. 2008, 13 (26): pii:18916-
- Donoso Mantke O, Schadler R, Niedrig M: A survey on cases of tick-borne encephalitis in European countries. EuroSurveill. 2008, 13 (17): pii:18848-
- Fomsgaard A, Christiansen C, Bodker R: First identification of tick-borne encephalitis in Denmark outside of Bornholm, August 2009. EuroSurveill. 2009, 14 (36): pii:19325-
- Herpe B, Schuffenecker I, Pillot J, Malvy D, Clouzeau B, Bui N: Tickborne encephalitis, southwestern France. Emerg Infect Dis. 2007, 13 (7): 1114-1116.PubMed CentralPubMed
- Pavlidou V, Geroy S, Diza E, Antoniadis A, Papa A: Epidemiological study of tick-borne encephalitis virus in northern Greece. Vector Borne Zoonotic Dis. 2007, 7 (4): 611-615. 10.1089/vbz.2007.0107.View ArticlePubMed
- D'Agaro P, Martinelli E, Burgnich P, Nazzi F, Del Fabbro S, Iob A: Prevalence of tick-borne encephalitis virus in Ixodes ricinus from a novel endemic area of North Eastern Italy. Med Virol. 2009, 81 (2): 309-316.View Article
- Skarpaas T, Ljøstad U, Sundøy A: First human cases of tickborne encephalitis, Norway. Emerg Infect Dis. 2004, 10 (12): 2241-2243.PubMed CentralView ArticlePubMed
- Kunz C: TBE vaccination and the Austrian experience. Vaccine. 2003, 21 (Suppl 1): S50-55. 10.1016/S0264-410X(02)00813-7.View ArticlePubMed
- Lindhe KE, Meldgaard DS, Jensen PM, Houser GA, Berendt M: Prevalence of tick-borne encephalitis virus antibodies in dogs from Denmark. Acta Vet Scand. 2009, 51: 56-10.1186/1751-0147-51-56.PubMed CentralView ArticlePubMed
- Sikutova S, Hornok S, Hubalek Z, Dolezalkova I, Juricova Z, Rudolf I: Serological survey of domestic animals for tick-borne encephalitis and Bhanja viruses in northeastern Hungary. Vet Microbiol. 2009, 135 (3-4): 267-271. 10.1016/j.vetmic.2008.09.082.View ArticlePubMed
- Beugnet F, Marie JL: Emerging arthropod-borne diseases of companion animals in Europe. Vet Parasitol. 2009, 163 (4): 298-305. 10.1016/j.vetpar.2009.03.028.View ArticlePubMed
- Leschnik MW, Kirzt GC, Thalhammer JG: Tick-borne encephalitis (TBE) in dogs. Internatl J Med Microbiol. 2002, 291 (Suppl.33): 66-69. 10.1016/S1438-4221(02)80014-5.View Article
- Guglielmone AA, Robbins RG, Apanaskevich DA, Petney TN, Estrada-Pena A, Horak IG, Shao R, Barker SC: The Argasidae, Ixodidae and Nuttalliellidae (Acari: Ixodida) of the world: a list of valid species names. Zootaxa. 2010, 2528: 1-28.
- Dryden MW, Payne PA: Biology and control of ticks infesting dogs and cats in North America. Vet Ther. 2004, 5 (2): 139-154.PubMed
- Berrada ZL, Telford SR: Burden of tick-borne infections on American companion animals. Topics Compan Animal Med. 2009, 24 (4): 175-181. 10.1053/j.tcam.2009.06.005.View Article
- Szabó MPJ, Cunha TM, Pinter A, Vicentini F: Ticks (Acari: Ixodidae) associated with domestic dogs in Franca region, Sao Paulo, Brazil. Exp Appl Acarol. 2001, 25: 909-916.View ArticlePubMed
- Dantas-Torres F: Ticks on domestic animals in Pernambuco, Northeastern Brazil. Rev Bras Parasitol Vet Jaboticabl. 2009, 18 (3): 22-28.View Article
- Brackney DE, Nofchissey RA, Fitzpatrick KA, Brown IK, Ebel GD: Stable prevalence of Powassan virus in Ixodes scapularis in a Northern Wisconsin focus. Am J Trop Med Hyg. 2008, 79 (6): 971-973.PubMed
- Main AJ, Carey AB, Downs WG: Powassan virus in Ixodes cookei and Mustelidae in New England. J Wildl Dis. 1979, 15 (4): 585-591.View ArticlePubMed
- Takashima I, Morita K, Chiba M, Hayasaka D, Sato T, Takezawa C, Igarasi A, Kariwa H, Yoshimatsu K, Arikawa J, Hashimoto N: A case of tick-borne encephalitis in Japan and isolation of the virus. J Clin Microbiol. 1997, 35 (8): 1943-1947.PubMed CentralPubMed
- Anonymous: Canine Vector-Borne Diseases. (CVBD, accessed on Dec. 10th 2010, [http://www.cvbd.org/4187.0.html]
- Bröker M, Gniel D: New foci of tick-borne encephalitis virus in Europe: consequences for travellers from abroad. Travel Med Infect Dis. 2003, 1 (3): 181-184.View ArticlePubMed
- Petri E, Gniel D, Zent O: Tick-borne encephalitis (TBE) trends in epidemiology and current and future management. Travel Med Infect Dis. 2010, 8 (4): 233-245. 10.1016/j.tmaid.2010.08.001.View ArticlePubMed
- Kunze U: Is there a need for travel vaccination against tick-borne encephalitis?. Travel Med Infect Dis. 2008, 6 (6): 380-383. 10.1016/j.tmaid.2008.06.004.View ArticlePubMed
- Greisikova M, Weidnerova K, Nosek J, Rajcani J: Experimental pathogenicity of tick-borne encephalitis virus for dogs. Acta Virol (Praha). 1972, 16: 336-340.
- Wandeler A, Steck F, Fankhauser R, Kammermann B, Gresikova M, Blascovic D: Isolierung des Virus der zentraleuropäischen Zeckenenzephalitis in der Schweiz. Path Microbiol. 1972, 38: 258-270. [in German]
- Kritz G, Leschnik M, Leidinger E: Ixodes ricinus: Gemeingefährlich für Hundes!. Kleintierpraxis. 2001, 46: 151-160. [in German]
- Reiner B, Fischer A: Frühsommer-Meningoenzephalitis (FSME) beim Hund in Deutschland: Zwei Fallberichte. Kleintierpraxis. 1998, 43: 255-269. [in German]
- Klimes J, Juricova Z, Literak I, Schanilec P, Trachta E, Silva E: Prevalence of antibodies to tickborne encephalitis and West Nile flaviviruses and clinical signs of tickborne encephalitis in dogs in the Czech Republic. Vet Rec. 2001, 148: 17-20. 10.1136/vr.148.1.17.View ArticlePubMed
- Tipold A, Fatzer R, Holzmann H: Zentraleuropäische Zeckenenzephalitis beim Hund. Kleintierpraxis. 1993, 38: 619-628. [in German]
- Stadtbäumer K, Leschnik MW, Nell B: Tick-borne encephalitis as a possible cause of optic neuritis in a dog. Vet Ophthalmol. 2004, 7 (4): 271-277.View ArticlePubMed
- Schwaiger M, Cassinotti P: Development of a quantitative real-time RT-PCR assay with internal control for the laboratory detection of tick borne encephalitis virus (TBEV) RNA. J Clin Virol. 2003, 27 (2): 136-45. 10.1016/S1386-6532(02)00168-3.View ArticlePubMed
- Weissenböck H, Suchy A, Holzmann H: Tick-borne encephalitis in dogs: neuropathological findings and distribution of antigen. Acta Neuropathol. 1998, 95: 361-366.View ArticlePubMed
- Müller W: FSME Seroprävalenz beim Hund in Deutschland. Abstract at the 9th InnLab Conference in Munich on 6.-8 April 2000 2000 (accessed on Dec. 10th 2010. [in German], [http://www.alomed.de/DI_innlab.htm]
- Weissenböck H, Holzman H: Immunhistologischer Nachweis der Frühsommer-Meningoencephalitis beim Hund in Österreich. Wien Tierärztl Mschr. 1997, 84: 34-38. [in German]
- Kritz G: FSME-Infektion in einer österreichischen Hundepopulation. Diss. Vet. Med. 1999, Vienna, [in German]
- Dryden MW: Flea and tick control in the 21st century: challenges and opportunities. Vet Dermatol. 2009, 20: 435-440. 10.1111/j.1365-3164.2009.00838.x.View ArticlePubMed
- Berrada ZL, Telford SR: Burden of tick-borne infections on American companion animals. Topics Companion Animal Med. 2009, 24 (4): 175-181. 10.1053/j.tcam.2009.06.005.View Article
- Klaus C, Hoffmann B, Moog U, Schau U, Beer M, Süss J: Can goats be used as sentinels for tick-borne encephalitis (TBE) in nonendemic areas? Experimental studies and epizootiological observations. Berl Münch Tierärztl Wochenschr. 2010, 123 (11-12): 441-5.PubMed
- Zilber LA, Soloviev VD: Far Eastern tick-borne spring-summer (spring) encephalitis. Am Rev Sov Med. 1946, 5 (Spec Suppl): 1-80.
- Libiková H: Natural focus encephalitides in Czechoslovakia. 1956, Thesis, Institute of Virology, Bratislava, Cited from Greisikova 1972
- Ernek E, Skoda R: Experimental pathogenicity of tick-borne encephalitisvirus for golden hamsters (Mesocricetus auratus Waterhouse 1839) and foxes (Vulpes vulpes, Linné 1758). Vet Cas. 1958, 4: 334-[in Slovak]
- Albrecht P: Comparative morphology and experimental pathogenesis of infections caused by tick-borne encephalitis and Eastern equine encephalomyelitis (EEE) virus. 1959, Thesis, Institute of Virology, Bratislava, cited from Gresikova 1972
- Radda A, Hoffmann H, Kunz C: Viremia in some European carnivores after infection with tick-borne encephalitis (TBE) virus by ticks. Zbl Bakt I Orig. 1969, 209 (4): 464-469.
- Lindblad G: A case of tick-borne encephalitis in a dog. Medlemsblad för Sveriges veterinärforbund. 1960, 12: 416-7. [in Swedish]
- Greisikova M, Sekeyova M, Weidnerova K, Blaskovic D, Steck F, Wandeler A: Isolation of tick-borne encephalitis virus from the brain of a sick dog in Switzerland. Acta Virol (Praha). 1972, 16: 88-
- Ytterberg U, Bjöersdorff A: TBE hos hund - en fallbeskriving. Svensk Vet Tidn. 2002, 54 (1): 5-7. [in Swedish]
- Åblad B: TBE hos entvåårig hund i Västra Gätaland. Svensk Vet Tidn. 2007, 59 (13): 21-23. [in Swedish]
- James C: Fästingburen encefalit (TBE) hos hund. 2008, Bla Stjärnans Djursjukhus, Göteborg, 1-20. [in Swedish]
- Zanoni M, Ortolani DB, Bonilauri P, Gelmetti D, Fabbi M, Cordioli P, Alborali LG: Encefalite da zecche in un cane. 2009, XI Congresso Nazionale S.I.Di.L.V. Parma, 52-53. [in Italian]
- Wattle O: Tick-borne encephalitis virusinfektion hos hund. Fördjupninsarbete, Vet. Med. Fakulteten, SLU. 1992, [in Swedish]
- Csángó PA, Blakstad E, Kirtz GC, Pedersen JE, Czettel B: Tick-borne encephalitis in southern Norway. Emerg Infect Dis. 2004, 10 (3): 533-534.PubMed CentralView ArticlePubMed
- Reiner B, Grasmück S, Steffen F, Djuric N, Schindler T, Müller W, Fischer A: Prevalence of TBE in serum and CSF of dogs with inflammatory and non-inflammatory CNS disease. Int J Med Microbiol. 2002, 291 (Suppl. 33): 234-10.1016/S1438-4221(02)80069-8.View Article
- Roelandt S: CODA/CERVA/VAR, Groeselenberg 99, B-1180. 2010, Brussels, Belgium. Personal communication
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