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Related Concept Videos

Encephalitis l: Introduction01:19

Encephalitis l: Introduction

Encephalitis is inflammation of the brain parenchyma, most often due to infections or autoimmune processes. It presents with neuropsychiatric features such as fever, altered mental status, behavioral changes, cognitive dysfunction, seizures, focal deficits, and sometimes autonomic instability. In some cases, the meninges are also involved, resulting in meningoencephalitis.Infectious CausesInfectious encephalitis is most commonly viral but can also result from bacterial, fungal, or parasitic...
Encephalitis ll: Pathophysiology01:26

Encephalitis ll: Pathophysiology

Encephalitis is inflammation of the brain parenchyma caused by direct viral invasion or immune-mediated mechanisms triggered by infections or tumors. Both processes lead to neuronal injury, disrupted neurotransmission, and diverse neurological symptoms, often with overlapping clinical and pathological features.Autoimmune EncephalitisIn autoimmune encephalitis, antibodies target neuronal antigens on cell surfaces, synapses, or within neurons. A key example is anti-NMDAR encephalitis, which can...
Arboviral Encephalitis01:25

Arboviral Encephalitis

Arboviral encephalitis refers to brain inflammation caused by arthropod-borne viruses, particularly those transmitted through mosquito vectors. Among these, West Nile virus (WNV), a member of the Flaviviridae family, is a significant public health concern. WNV is an enveloped, positive-sense, single-stranded RNA virus. Human infection typically begins when an infected mosquito introduces the virus into the dermis during feeding. The primary transmission cycle involves birds as amplifying hosts...
Viral Meningitis01:18

Viral Meningitis

Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
Bacterial Meningitis II: Pathophysiology01:26

Bacterial Meningitis II: Pathophysiology

Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Bacterial Meningitis I: Introduction01:22

Bacterial Meningitis I: Introduction

Bacterial meningitis is a severe, life-threatening inflammation of the meninges, particularly the pia mater and arachnoid mater, affecting the subarachnoid space, ventricles, and cerebrospinal fluid (CSF). If untreated, it can lead to significant neurological complications or death.Causative AgentsCommon pathogens vary with age and immune status. In adults, major organisms include Streptococcus pneumoniae, Neisseria meningitidis, and Haemophilus influenzae. Streptococcus agalactiae (group B...

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Related Experiment Video

Updated: May 25, 2026

A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease
04:23

A Murine Model of Dengue Virus-induced Acute Viral Encephalitis-like Disease

Published on: April 28, 2019

[Infectious encephalitis].

Jean-Paul Stahl1, Pierre Tattevin

  • 1Maladies infectieuses et tropicales, CHU de Grenoble et université Grenoble-1, 38043 Grenoble Cedex. jpstahl@chu-grenoble.fr

La Revue Du Praticien
|February 1, 2012
PubMed
Summary
This summary is machine-generated.

Infectious encephalitis, a severe brain disease, is often caused by herpes simplex virus type 1. While acyclovir improves survival, many patients face lasting neurological issues, necessitating early diagnosis and treatment for various causes.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Neuroimmunology

Context:

  • Infectious encephalitis presents a significant global health challenge with high mortality and long-term neurological deficits.
  • Herpes simplex virus type 1 is the most common identified cause, despite a substantial proportion of cases remaining unexplained.
  • Bacterial causes, particularly Mycobacterium tuberculosis and Listeria monocytogenes, are prevalent in certain regions like France.

Purpose:

  • To review the etiology, diagnosis, and management of infectious encephalitis.
  • To highlight the impact of antiviral therapy on herpes simplex encephalitis outcomes.
  • To emphasize the importance of considering non-infectious mimics in encephalitis differential diagnosis.

Summary:

  • Herpes simplex virus type 1 encephalitis, though treatable with acyclovir, frequently results in persistent neuropsychological sequelae.
  • Bacterial infections, including tuberculosis and listeriosis, require prompt consideration and early treatment upon patient admission.
  • Autoimmune encephalitis and acute disseminated encephalomyelitis (ADEM) can clinically resemble viral encephalitis, mandating inclusion in the differential diagnosis.

Impact:

  • Improved survival rates for herpes simplex encephalitis patients following the widespread use of acyclovir.
  • The need for early and accurate diagnosis to guide appropriate treatment strategies for diverse encephalitis etiologies.
  • Recognition of non-infectious conditions that mimic infectious encephalitis is crucial for effective patient management and improved outcomes.