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Related Concept Videos

Arboviral Encephalitis01:25

Arboviral Encephalitis

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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...
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Diphtheria is an acute, toxin-mediated infectious disease that primarily affects the upper respiratory tract. It is caused by Corynebacterium diphtheriae, a Gram-positive, pleomorphic rod that lacks spore-forming capability and exhibits a characteristic club-shaped morphology under microscopic examination. While C. diphtheriae can asymptomatically colonize mucosal surfaces, clinical disease manifests only when the bacterial strain is lysogenized by a specific β-corynephage. This phage...
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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...
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Acute Disseminated Encephalomyelitis.

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Acute disseminated encephalomyelitis (ADEM) is an immune-mediated pediatric disease causing demyelination and neurological symptoms after infection or vaccination. This review covers ADEM's causes, diagnosis, imaging, and treatment strategies.

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Area of Science:

  • Neurology
  • Immunology
  • Pediatrics

Background:

  • Acute disseminated encephalomyelitis (ADEM) is a rare, immune-mediated neurological disorder.
  • It primarily affects children and is characterized by widespread demyelination in the central nervous system.
  • ADEM often follows a viral infection or immunization.

Observation:

  • Patients present with acute-onset, multifocal neurological deficits.
  • Symptoms can include encephalopathy, seizures, and focal neurological signs.
  • The clinical presentation is diverse and can mimic other neurological conditions.

Findings:

  • Diagnostic criteria involve clinical presentation, laboratory findings, and characteristic magnetic resonance imaging (MRI) findings.
  • MRI typically shows bilateral, asymmetric, large white matter lesions.
  • Pathophysiology involves autoimmune attack on myelin antigens.

Implications:

  • Early diagnosis and appropriate management are crucial for improving outcomes in ADEM.
  • Understanding the pathophysiology aids in developing targeted therapies.
  • This review provides a comprehensive overview for clinicians managing pediatric neurological emergencies.