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International Journal of Neuroscience Volume 121, 2011 - Issue 3
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Case Report

Personality Changes After Toscana Virus (TOSV) Encephalitis in a 49-Year-Old Man: A Case Report

Daniele SerataCorrespondence[email protected]
,
Chiara Rapinesi
,
Antonio Del CasaleNESMOS Department (Neurosciences, Mental Health, and Sensory Functions), Sapienza University, 2nd Medical School, Sant’Andrea Hospital, Rome, Italy
,
Alessio SimonettiNESMOS Department (Neurosciences, Mental Health, and Sensory Functions), Sapienza University, 2nd Medical School, Sant’Andrea Hospital, Rome, Italy
,
Lorenzo Mazzarini
,
Elisa AmbrosiNESMOS Department (Neurosciences, Mental Health, and Sensory Functions), Sapienza University, 2nd Medical School, Sant’Andrea Hospital, Rome, Italy
,
Giorgio D. KotzalidisNESMOS Department (Neurosciences, Mental Health, and Sensory Functions), Sapienza University, 2nd Medical School, Sant’Andrea Hospital, Rome, Italy
,
Claudio FensoreDepartment of Neuropsychiatry, Villa Rosa, Suore Hospitaliere of the Sacred Heart of Jesus, Viterbo, Italy
,
Paolo Girardi
&
Roberto TatarelliDepartment of Neuropsychiatry, Villa Rosa, Suore Hospitaliere of the Sacred Heart of Jesus, Viterbo, Italy
 show all
Pages 165-169 | Received 25 May 2010, Published online: 02 Dec 2010
 
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ABSTRACT

Toscana virus (TOSV) infection may often cause symptomatic meningitides and encephalitides. These usually subside in few days and their sequelae do not last for more than few weeks. We here report the case of a 49-year-old man who developed encephalitis after being bitten by phlebotomi in a region near southern Tuscany, where TOSV is endemic, and who developed postencephalitic seizures and subsequently, persistent personality alterations, characterized by sexually dissolute behavior and aggressiveness. One year after infection, the patient needs a combination of an SSRI antidepressant and a mood stabilizer/anticonvulsant to obtain less than optimal symptom improvement. This points to the need of establishing better preventive measures in Tuscany and nearby regions.

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