ALLERGY, RESPIRATORY
Obesity May Raise Kids' Allergy Risk
Keep Asthma, Allergies at Bay for the Holidays
Asthmatics Who Quit Smoking May Reverse Lung Damage
ALTERNATIVE MEDICINE
Should Your Child Be Seeing a Chiropractor?
Health Tip: Anticipating Acupuncture
Meditation May Boost Short-Term Visual Memory
ANIMAL CARE
Animals Respond to Acupuncture's Healing Touch
'Comfort Dogs' Come to Emotional Rescue
Rest Easy. When It Comes to Swine Flu, Your Pet Is Safe
BONES & JOINTS
Almost Half of Adults Will Develop Knee Osteoarthritis by 85
Returning to the Road Tricky After Injury
Chronic Low Back Pain Is on the Rise
CANCER
Yoga May Bring Calm to Breast Cancer Treatment
Vitamin D May Lower Colon Cancer Risk
Papaya Could Be a Cancer Fighter
CAREGIVING
Many Alzheimer's Caregivers Admit to Abusive Behavior
Hospital Practices Influence Which Moms Will Breast-Feed
Falls Are Top Cause of Injury, Death Among Elderly
CIRCULATORY SYSTEM
Health Tip: Are You Anemic?
Migraines in Pregnancy Boost Vascular Risks
Laughter Can Boost Heart Health
COSMETIC
The Acne Drug Accutane More Than Doubles Depression Risk
Study Evaluates Laser Therapies for Hair Removal
With Psoriasis, the Internet May Offer Hope
DENTAL, ORAL
Gummy Bears Join Cavity Fight
Toothbrushing May Stave Off Heart Woes
Acid Drinks Blamed for Increase in Tooth Erosion
DIABETES
Doctors Urged to Screen Diabetics for Sleep Apnea
Americans Consuming More Sugary Beverages
Out-of-Control Blood Sugar May Affect Memory
DIET, NUTRITION
Many Cancer Survivors Don't Adopt Healthy Lifestyle
5 Reasons why you could gain weight while dieting
To Feel Better, Low-Fat Diet May Be Best
DISABILITIES
Could Your Cell Phone Help Shield You From Alzheimer's?
Review Finds Marijuana May Help MS Patients
ENVIRONMENTAL HEALTH
1976 Italian Dioxin Release Damaged Babies' Thyroids
Air Pollution Exposure May Slow Fetal Growth
Genetics, Environment Shape Sexual Behavior
EYE CARE, VISION
High Temps Degrade Contact Lens Solution: Study
Eye Care Checkups Tied to Insurance Status
Eye Test Could Spot Diabetes Vision Trouble Early
FITNESS
Antioxidants Blunt Exercise Benefit, Study Shows
The Juice From Beetroots May Boost Stamina
The 3LS Wellness Program for Reversing Chronic Symptoms and Creating Lasting Health
GASTROINTESTINAL PROBLEMS
New Yogurt May Ease Stomach Ulcers
Intestinal Bacteria Trigger Immune Response
Peppermint Oil, Fiber Can Fight Irritable Bowel
GENERAL HEALTH
Research Shows Genetic Activity of Antioxidants
Have a Goal in Life? You Might Live Longer
Kids More Apt to Smoke If Mom Did While Pregnant
HEAD & NECK
Zen May Thicken Brain, Thwart Pain
Many Children Will Outgrow Headaches
Ski Helmets Encouraged for All
HEALTH & TECHNOLOGY
Magnet Therapy May Ease Hard-to-Treat Depression
Subway Defibrillators Save Lives
The Internet Is Becoming One-Stop Shopping for Health Help
HEARING
Summer Sounds Can Lead to Hearing Loss
Noise Hurts Men's Hearing More, Study Shows
HEART & CARDIOVASCULAR
Heart Disease May Be Prevented By Taking Fish Oils, Study Shows
Chinese Red Yeast Rice May Prevent Heart Attack
Toothbrushing May Stave Off Heart Woes
INFECTIOUS DISEASE
More Medicinal Uses for Pomegranate
Swine Flu Now Reported in All 50 States
Older Adults May Have Some Immunity to Swine Flu
INFERTILITY
Obesity May Affect Fertility in Young Womene
KID'S HEALTH
St. John's Wort Doesn't Work for ADHD
Protect Your Kids From Swine Flu While at Camp
Standard IQ Test May Underestimate People With Autism
MEN'S HEALTH
Lots of Sex May Prevent Erectile Dysfunction
Physical Activity May Prolong Survival After Colon Cancer
Low Iron Levels Cut Cancer Risk in Men With PAD
MENTAL HEALTH
Meditation May Boost College Students' Learning
Keeping Mentally Active Seems To Keep The Brain Active
A Simple 'Thank You' Brings Rewards to All
PHYSICAL THERAPY
PREGNANCY
Pregnant Women Exposed To Certain Pollutants Could Lower Childs IQ
Breast-Feeding Benefits Moms and Babies
Prenatal Stress May Boost Baby's Asthma Risk
SENIORS
For a Healthier Retirement, Work a Little
Older Adults May Have Some Immunity to Swine Flu
Want Better Health in the New Year, Add Exercise to Your Day
SEXUAL HEALTH
SLEEP DISORDERS
Sleeping Could Help Women Lose The Baby Fat
Meditation May Help Put Primary Insomnia to Bed
Exercising Throat Muscles May Relieve Sleep Apnea
WOMEN'S HEALTH
Varicose Veins May Mask Larger Problem
Natural Childbirth Moms More Attuned to Babies' Cry
Broccoli May Help Battle Breast Cancer
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Man Dies of Brain Inflammation Caused by Deer Tick Virus

By Amanda Gardner
HealthDay Reporter

WEDNESDAY, May 13 (HealthDay News) -- In what scientists say might be the first case of its kind, a new report details the story of a 62-year-old man in New York state who died last year of meningoencephalitis, apparently after being bitten by a deer tick infected with deer tick virus.

This appears to be the first reported human illness from the virus, although the organism was isolated in the brain of a person in Ontario, Canada. In this instance, there was no description of illness associated with that infection, said Norma P. Tavakoli, lead author of the paper appearing in the May 14 issue of the New England Journal of Medicine.

"Deer tick virus encephalitis [inflammation of the brain] is rare, but diagnostic testing is not routinely performed, so there could be cases out there we're actually missing," said Tavakoli, who is a research scientist with the Wadsworth Center, New York State Department of Health in Albany. "Certainly, during early spring to fall in areas where infected ticks have been reported, testing should be done."

"It is quite a rare virus," said Dr. Geoffrey Weinberg, a professor of pediatrics in the division of pediatric infectious diseases at the University of Rochester Medical Center. "I would advise people not to be overly concerned. Ticks are less commonly infected with this than with Lyme disease and, even in Lyme, Conn., a minority of ticks are infected with Lyme disease. Also, the odds are 300-to-one that someone infected with the virus will develop encephalitis. The vast majority have no symptoms at all."

For the average outdoorsman, precautions already recommended to avoid contracting Lyme disease -- also transmitted via deer ticks -- should decrease the odds of getting the deer tick virus as well, according to the study.

"Whether or not this will become a real problem, I don't think anybody knows. Obviously, there is no treatment for the virus so, really, prevention is the only thing you can do," said Dr. Peter Welch, an infectious disease specialist with Northern Westchester Hospital in Mt. Kisco, N.Y. "We should always be cautious to do our best to not be bitten by ticks. Check for ticks when you come out of the woods or anywhere there are ticks. Wear insect repellant which contains DEET."

Wearing light-colored clothing, removing any ticks as soon as they are found and keeping pets free of ticks can also reduce the risk, Tavakoli added.

Deer tick virus is closely related to Powassan virus, which can also cause encephalitis and is also transmitted by way of the deer tick, according to background information in the study. Both are flaviviruses, a group that includes West Nile virus, St. Louis encephalitis virus, dengue and yellow fever viruses, all of which are transmitted by mosquitoes.

Infection with one of these viruses sometimes causes severe illness, some combination of milder symptoms, or no illness at all. Deer ticks also transmit Lyme disease, which is now widespread in the United States.

In the New York case, a 62-year-old man from Putnam County, N.Y., arrived at a local hospital in spring of 2008 complaining of fatigue, fever, rash and muscle weakness.

Doctors first suspected West Nile virus, but analysis of tissue samples eventually came up positive for deer tick virus only.

The patient spent a good deal of time outdoors, owned horses and lived in a county with many reports of Lyme disease, indicating a large tick population. Although the man had not reported any tick bites, the time of the year was right for such an event, and many deer ticks are so small as to remain undetected.

Unfortunately, the man's condition continued to deteriorate, life support was withdrawn, and the man, who also had leukemia and therefore possibly a weakened immune system, died 17 days after he fell ill.

In general, Welch said, encephalitis cases of any sort are few, and labs are not usually able to identify the source, unless it is the herpes simplex virus.

"Since no one has been testing, we really don't know the incidence of deer tick virus, but it can't be very high, because we don't have many cases of encephalitis," he said. "What happens in the future will depend on how many ticks get infected, how easy it is to transmit to people and what percent of people infected get severe disease. It could be that people with normal immune systems are relatively resistant."

More information

Visit the U.S. Centers for Disease Control and Prevention for more on tick-borne encephalitis.



SOURCES: Norma P. Tavakoli, Ph.D., research scientist, Wadsworth Center, New York State Department of Health, Albany; Geoffrey Weinberg, professor, pediatrics, division of pediatric infectious diseases, University of Rochester Medical Center, N.Y.; Peter Welch, M.D., Ph.D., infectious disease specialist, Northern Westchester Hospital, Mt. Kisco, N.Y.; May 14, 2009, New England Journal of Medicine

Last Updated: May 13, 2009

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