[Neurological symptoms after an XXXX ].

@entity1 @entity697 @entity390 @entity1910 @entity114 @entity344 @entity693 @entity2319 @entity5084 @entity158 @entity10 @entity221 @entity18016
CASE 1: A few days after returning from a holiday in Italy a 50-year-old @entity1 developed @entity344 , followed by @entity10 , @entity158 . After transitory remission he had a relapse with @entity221 , @entity10 and @entity693 2 weeks later. Cerebrospinal fluid contained gram-negative diplococci, but no bacteria grew on culture. Under the suspected diagnosis of @entity693 he was treated with @entity114 . Ten days later he suddenly developed @entity2319 in his right ear. The various signs and symptoms gradually disappeared and the @entity1 was discharged after 24 days in hospital. Retrospectively serological tests indicated @entity18016 with serotype Toscana. This is thought to be the first reported case of @entity2319 associated with this disease. CASE 2: One week after returning from a holiday in Tunisia a 34-year-old @entity1 fell ill with @entity221 , @entity10 , @entity5084 , @entity390 , joint @entity158 and a maculopapular @entity1910 for which he was treated as an outpatient. The symptoms improved after 7 days, except for the @entity10 which persisted another 5 days. Serology demonstrated an @entity697 by SF virus, serotype Sicilian. CONCLUSION: Sandfly @entity221 should be included in the differential diagnosis of @entity10 , @entity221 and signs of @entity693 in @entity1 who have recently been to mediterranean countries.
