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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...
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Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
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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...
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In Vivo Imaging Systems IVIS Detection of a Neuro-Invasive Encephalitic Virus
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Powassan Virus Encephalitis: A Tertiary Center Experience.

Maria Alejandra Mendoza1, Reece M Hass2, James Vaillant1

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Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America
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Powassan virus (POWV) causes severe neuroinvasive disease. This study found high rates of death and long-term disability in POWV patients, emphasizing the need for early diagnosis.

Keywords:
Powassan virusarbovirustick-borne diseases

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Area of Science:

  • Neuroscience
  • Infectious Diseases
  • Public Health

Background:

  • Powassan virus (POWV) is an emerging tick-borne flavivirus.
  • POWV infection is associated with severe neuroinvasive disease and poor patient outcomes.

Purpose of the Study:

  • To analyze clinical and epidemiological data of neuroinvasive POWV cases.
  • To describe the presentation, diagnosis, and outcomes of neuroinvasive POWV.

Main Methods:

  • Retrospective study at Mayo Clinic (2013-2022).
  • Inclusion of probable and confirmed neuroinvasive POWV cases.
  • Analysis of clinical and epidemiological data.

Main Results:

  • Sixteen patients with neuroinvasive POWV were identified.
  • Common presentations included rhombencephalitis, meningitis, and encephalitis.
  • High rates of mortality (18.8%) and residual neurologic deficits (72.7%) were observed.

Conclusions:

  • This is the largest case series of neuroinvasive POWV infection.
  • High clinical suspicion is crucial for patients in high-risk areas during warmer months.
  • Neuroinvasive POWV is associated with significant morbidity and mortality.