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Diagnosing viral encephalitis and emerging concepts.

Heather Y F Yong1, Daniel M Pastula2,3, Ronak K Kapadia1

  • 1Division of Neurology, Department of Clinical Neurosciences, University of Calgary, Cummings School of Medicine, Calgary, Alberta, Canada.

Current Opinion in Neurology
|April 20, 2023
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Summary
This summary is machine-generated.

Rapid advancements in diagnostic tools like multiplex PCR and next-generation sequencing are improving the identification of viral encephalitis causes. These innovations offer quicker pathogen detection and aid in managing complex neurological infections.

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Medical Diagnostics

Background:

  • Viral encephalitis diagnosis is evolving rapidly.
  • Understanding emerging and re-emerging infectious agents is crucial for neuroinfectious disease practice.

Approach:

  • This review focuses on contemporary clinical approaches to diagnosing viral encephalitis.
  • It discusses recent advancements in diagnostic technologies and relevant emerging infections.

Key Points:

  • Multiplex PCR panels enable rapid pathogen detection, potentially reducing empiric antimicrobial use.
  • Metagenomic next-generation sequencing shows promise for diagnosing rare and challenging viral encephalitis cases.
  • Emerging infections such as arboviruses, monkeypox virus (mpox), and measles are relevant to current neuroinfectious disease practice.

Conclusions:

  • While etiological diagnosis of viral encephalitis remains challenging, new tools are emerging.
  • Environmental, host, and societal factors are reshaping the landscape of neurological infections.
  • Clinicians can anticipate enhanced diagnostic capabilities for viral encephalitis in the near future.