{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T04:25:30Z","timestamp":1741753530232,"version":"3.38.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T00:00:00Z","timestamp":1583020800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness &amp; Environmental Medicine"],"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p> Powassan virus is a rare flavivirus that may be transmitted by tick bite and is associated with encephalitis. Infections have been described in the northern United States, Canada, and Russia. We present the case of a 56-y-old man who presented to our hospital with symptoms of confusion, altered behavior, and headache. The patient developed fever and status epilepticus despite supportive care and required endotracheal intubation. Six days before presentation, the patient had returned from a hunting trip in the Adirondack region of New York State. <\/jats:p>","DOI":"10.1016\/j.wem.2019.09.002","type":"journal-article","created":{"date-parts":[[2020,1,29]],"date-time":"2020-01-29T13:29:10Z","timestamp":1580304550000},"page":"87-90","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Powassan Virus in a Hunter Returning from a Trip in the Adirondack Park"],"prefix":"10.1177","volume":"31","author":[{"given":"David","family":"Colman","sequence":"first","affiliation":[{"name":"Department of Family and Community Medicine, Albany Medical College, Albany, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel","family":"Peaslee","sequence":"additional","affiliation":[{"name":"Department of Adult and Family Medicine, Kaiser Permanente Santa Rosa Medical Center, Santa Rosa, California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,3,1]]},"reference":[{"issue":"11","key":"bibr1-j.wem.2019.09.002","first-page":"1419","volume":"161","author":"Gholam B.I.","year":"1999","journal-title":"CMAJ"},{"issue":"9","key":"bibr2-j.wem.2019.09.002","first-page":"708","volume":"80","author":"McLean D.M.","year":"1959","journal-title":"Can Med Assoc J"},{"key":"bibr3-j.wem.2019.09.002","doi-asserted-by":"publisher","DOI":"10.1111\/zph.12485"},{"key":"bibr4-j.wem.2019.09.002","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.00106-17"},{"key":"bibr5-j.wem.2019.09.002","unstructured":"Centers for Disease Control and Prevention. Powassan virus: statistics and maps. Available at: https:\/\/www.cdc.gov\/powassan\/statistics.html. Accessed August 15, 2018."},{"key":"bibr6-j.wem.2019.09.002","unstructured":"Centers for Disease Control and Prevention. Arboviral diseases, neuroinvasive and non-neuroinvasive 2015 case definition. Available at: https:\/\/wwwn.cdc.gov\/nndss\/conditions\/arboviral-diseases-neuroinvasive-and-non-neuroinvasive\/case-definition\/2015\/. Accessed August 15, 2018."},{"key":"bibr7-j.wem.2019.09.002","doi-asserted-by":"publisher","DOI":"10.1093\/jme\/tjw076"},{"key":"bibr8-j.wem.2019.09.002","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-5-594"},{"key":"bibr9-j.wem.2019.09.002","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/civ1005"},{"key":"bibr10-j.wem.2019.09.002","unstructured":"Center for Disease Control and Prevention. Outbreak of Powassan encephalitis\u2014Maine and Vermont, 1999\u20132001. Morbidity and Mortality Weekly Report. Available at: https:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm5035a4.htm. Accessed August 16, 2018."}],"container-title":["Wilderness &amp; Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S108060321930167X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S108060321930167X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2019.09.002","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1016\/j.wem.2019.09.002","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1016\/j.wem.2019.09.002","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T07:56:17Z","timestamp":1741679777000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1016\/j.wem.2019.09.002"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1016\/j.wem.2019.09.002"],"URL":"https:\/\/doi.org\/10.1016\/j.wem.2019.09.002","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"type":"print","value":"1080-6032"},{"type":"electronic","value":"1545-1534"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}