The case of an 11-year-old child with acute myopericarditis associated with
central European tick-borne encephalitis is presented. Cardiac involvement
was demonstrated by pericardial effusion, elevated serum concentration of
troponin-I and cardiac arrhythmia. Co-infections with enteroviruses, Borrel
ia burgdorferi or the agent of human granulocytic ehrlichiosis were exclude
d. Recovery was uneventful.
Conclusion Central European tick-borne encephalitis can be complicated by c
ardiac involvement.