gms | German Medical Science

80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

20.05. - 24.05.2009, Rostock

Hyposmia after vaccination against tick-borne encephalitis – case story

Meeting Abstract

  • Jan Vodicka - Department of Otorhinolaryngology and Head and Neck Surgery, Pardubice, Czech Republic
  • Hana Jelínková - Regional Hospital Pardubice, Pardubice, Czech Republic
  • Emílie Svestková - Regional Hospital Pardubice, Pardubice, Czech Republic
  • Petra Nykodýmová - Regional Hospital Pardubice, Pardubice, Czech Republic

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 80. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Rostock, 20.-24.05.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09hnod399

DOI: 10.3205/09hnod399, URN: urn:nbn:de:0183-09hnod3999

Veröffentlicht: 17. April 2009

© 2009 Vodicka et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: During last several years the number of vaccination against infectious diseases increased. Therefore, it is expected to meet new adverse effects of this kind of prevention. In a case story we report a patient with hyposmia after receiving tick-borne encephalitis vaccine.

Methods: Woman, 59 years old, came to our department due to loss of smell after vaccination against tick-born encephalitis. The vaccine was applied two weeks ago. She reported olfactory decrease second day after the vaccination. Other side effect symptoms of the vaccination were present as well – headache and tiredness. Regular ENT examination was performed including rhinoendoscopy and smell testing (OMT and Sniffin’ Sticks Test). Patient underwent regular examination at neurology and infectology. X-ray of paranasal sinuses and MRI of head were performed. Smell testing was performed one month later.

Results: There was no pathology found at ENT and neurological examination. Smell testing proved hyposmia in both tests (OMT 8 points, Sniffin’ Sticks TDI 23.25 points). Serological analysis of antibody against tick-born encephalitis was negative and X-ray and MRI did not show any possible cause of smell loss. No systemic treatment was prescribed. One month later patient reported slight improvement of sense of smell. This was not proved by olfactometry (OMT 9 points, Sniffin’ Sticks TDI 24.25 points).

Conclusion: We present a patient with hyposmia after vaccination against tick-borne encephalitis. The question remains, whether this was caused by vaccine itself or this was coincidence of other etiology (postviral). Nevertheless, smell deterioration should be considered as a possible adverse effect of vaccination against tick-born encephalitis.

Unterstützt durch: Grant project of the Ministry of Heath of the Czech Rebulic (No.1A/8667-4)