Tick-Borne Encephalitis
Conditions
Brief summary
The purpose of this study is to investigate the efficacy of dexamethasone in patients with tick-borne encephalitis.
Interventions
dexamethasone 4 mg tid
20 ml saline
Sponsors
Study design
Eligibility
Inclusion criteria
* age 18 years or older and * clinical signs and symptoms of meningoencephalitis or meningomyelitis and * cerebrospinal pleocytosis and * serological confirfmation of tick-borne encephalitis virus infection
Exclusion criteria
* pregnancy or * severe neurological impairment befor tick-borne encephalitis or * systemic corticosteroid treatment in the past 30 days or * allergy to corticosteroids or * immunosuppresive condition or therapy such as HIV with CD4 \< 200/ml, organ or bone marrow transplant, receiving chemotherapy, radiotherapy or any other immunosuppresive therapy, primary immunodeficiency, hematological maliganncy or * ventricular shunt or * endoscopically documented peptic gastric ulcer in the past six months or gastrointestinal bleeding with hemoglobin drop ≥ 20 units or * uncontrolled diabetes with hyperglicemia or * antiviral therapy with rilpivirin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Modified Rankin Scale for Neurologic Disability | 6 month follow-up visit | Proportion of patients with score 2 or higher on Modified Rankin Scale for Neurologic Disability, avilable at: https://www.mdcalc.com/calc/1890/modified-rankin-scale-neurologic-disability |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incomplete outcome | at the 2, 6, and 12 month follow-up visits | Proportion of patients with objective sequelae and subjective symptoms post tick-borne encephalitis as detected by performing clinical examination (objective sequelae) and taking patient history (subjective symptoms) |
Countries
Slovenia