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Detection of Infectious Virus from Field-collected Mosquitoes by Vero Cell Culture Assay
Published on: June 9, 2011
Western equine and St. Louis encephalitis in man, California, 1945-1950
Abstract:
A large group of etiologic agents, some known and some unknown, produce in man a clinical syndrome now labeled "infectious encephalitis."The separation, from this larger group, of single disease entities which cause similar clinical symptoms is possible, but calls for diagnostic acumen plus supporting laboratory evidence. Two etiologically specific entities, western equine encephalitis and St. Louis encephalitis, are frequently encountered in rather well-defined areas of California, the Central Valley and Imperial Valley; and there is a definite seasonal pattern of occurrence-June through October. There are certain guides that are helpful in differential diagnosis. Establishing a diagnosis on the basis of clinical evidence is difficult. Laboratory studies are of great importance not only for diagnosis in the individual case but for advancement of etiology. Specimens are worthless unless taken at proper intervals and submitted by methods described. It is probable that encephalitides caused by still unknown agents exist in California. The isolation and identification of new encephalitogenic viral agents will depend in large measure upon the submission by physicians of suitable specimens from patients with central nervous system disease in which the cause is obscure.
Insights
Infectious encephalitis is caused by various agents. Identifying specific causes like western equine encephalitis and St. Louis encephalitis requires laboratory evidence, especially for unknown infectious encephalitis agents.
Area of Science:
- Neurology
- Infectious Diseases
- Virology
Background:
- Infectious encephalitis encompasses a broad spectrum of clinical syndromes caused by numerous known and unknown etiologic agents.
- Distinguishing specific disease entities within this group necessitates diagnostic skill and laboratory confirmation.
Purpose of the Study:
- To highlight the diagnostic challenges and importance of laboratory evidence in identifying specific causes of infectious encephalitis.
- To discuss the epidemiology of two specific encephalitis types in California and the potential for discovering novel causative agents.
Main Methods:
- Clinical observation and differential diagnosis.
- Laboratory analysis of patient specimens.
- Epidemiological surveillance in defined geographic areas.
Main Results:
- Western equine encephalitis and St. Louis encephalitis are common in specific California regions (Central Valley, Imperial Valley) with a seasonal occurrence (June-October).
- Clinical diagnosis of encephalitis can be difficult, underscoring the need for laboratory support.
- Proper specimen collection and submission are critical for accurate diagnosis and etiological research.
Conclusions:
- Laboratory studies are crucial for diagnosing individual encephalitis cases and advancing etiological understanding.
- The existence of encephalitis caused by unidentified agents in California is probable.
- Physician submission of appropriate specimens from obscure central nervous system diseases is vital for isolating new encephalitogenic viral agents.
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