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Published on: December 2, 2012
A human case of encephalitis associated with vesicular stomatitis virus (Indiana serotype) infection
E Quiroz1, N Moreno, P H Peralta
1Gorgas Memorial Laboratory, Panama City, Republic of Panama.
Abstract:
This paper describes a case of severe encephalitis in a 3-year-old Panamanian boy infected with the Indiana serotype of vesicular stomatitis virus. The virus was recovered from the child's throat on the fifth day of illness and a rise in neutralizing antibody titer was demonstrated in paired serum specimens. This is the second report of childhood encephalitis associated with vesicular stomatitis virus infection. These suggest that infection with vesicular stomatitis viruses may cause severe disease. Human infection with vesicular stomatitis viruses is common throughout the tropical Americas.
Insights
Vesicular stomatitis virus (VSV) infection can cause severe encephalitis in children, as seen in a Panamanian boy infected with the Indiana serotype. This case highlights the potential for VSV to cause serious neurological disease in humans.
Area of Science:
- Medical Entomology
- Virology
- Neuroscience
Background:
- Vesicular stomatitis virus (VSV) is a common pathogen in tropical Americas, typically causing mild symptoms in humans.
- Encephalitis, or inflammation of the brain, can result from various viral infections.
- Previous reports have suggested a link between VSV and neurological illness, but severe cases in children are rare.
Observation:
- A 3-year-old boy in Panama presented with severe encephalitis.
- The Indiana serotype of VSV was isolated from the patient's throat.
- Diagnostic tests confirmed a rise in neutralizing antibodies against VSV.
Findings:
- The case represents the second documented instance of VSV-associated encephalitis in a child.
- The Indiana serotype of VSV was identified as the causative agent.
- The patient's clinical presentation and laboratory results confirmed a severe neuroinvasive infection.
Implications:
- VSV infection should be considered in the differential diagnosis of pediatric encephalitis, especially in endemic regions.
- This case underscores the potential for VSV to cause severe, life-threatening neurological disease.
- Further research is needed to understand the pathogenesis of VSV encephalitis and identify risk factors.
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