First paediatric case of autochthonous tick-borne encephalitis in the Netherlands, 2018

Since 2016, sporadic cases of autochthonous tick-borne encephalitis (TBE) have been encountered in the Netherlands, in two distinct geographic regions. We describe the first paediatric autochthonous case of TBE, in 2018, which was contracted outside these regions, suggesting that TBE is more widespread. Countrywide vigilance for new TBE cases remains necessary. Keywords: Emerging infectious disease, tick-borne disease, tick-borne encephalitis, zoonotic infections