拉克罗斯病毒脑炎在儿童中
1Division of Infectious Diseases and Host Defense Program, Nationwide Children's Hospital and The Ohio State University, Columbus, Ohio, USA.
Current opinion in infectious diseases
|July 30, 2024
概括
拉克罗斯病毒脑炎 (LACV-E) 在儿童中经常出现发作和精神状态变化,预示着严重的疾病. 长期的神经行为问题是很常见的,并未得到充分的认可,需要随访.
科学领域:
- 关节动物传播的病毒感染
- 儿科神经学 儿科神经学
- 神经病毒学 神经病毒学
背景情况:
- 拉克罗斯病毒脑炎 (LACV-E) 是北美儿童中常见的一种神经侵入性关节动物传播的病毒感染.
- 儿童比成年人更容易受到症状性LACV-E的感染.
- 感染常常会导致神经症状,如发作和心智变化,需要住院和广泛的评估.
研究的目的:
- 提供对诊断为LACV-E.儿童的临床,实验室和神经行为结局的最新审查.
- 要突出LACV-E.的关键临床特征和诊断方法.
- 强调需要长期对受影响儿童进行神经行为跟踪.
主要方法:
- 对儿童拉克罗斯病毒脑炎的当代文献的综述.
- 对临床表现,实验室发现和神经行为结果的分析.
- 综合有关疾病严重性预测指标和长期后果的数据.
主要成果:
- 发作和发作时精神状态的改变是LACV-E严重程度的独立预测因素.
- 电脑电图 (EEG) 上的性泄漏可能表明长期的风险较高.
- 在LACV-E后的儿童中,持续且未被认可的神经系统连续症状很常见.
结论:
- 气候变化可能会扩大拉克罗斯病毒 (LACV) 的特有区域.
- 临床医生应了解LACV-E.的可识别特征和诊断工具.
- 对宿主免疫反应和LACV感染的治疗策略的进一步研究至关重要.
更多相关视频
05:51Intracerebroventricular and Intravascular Injection of Viral Particles and Fluorescent Microbeads into the Neonatal Brain
Published on: July 24, 2016
19.4K
09:37Detection of Polyfunctional T Cells in Children Vaccinated with Japanese Encephalitis Vaccine via the Flow Cytometry Technique
Published on: September 23, 2022
1.9K
相关概念视频
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...
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...
Cytomegalovirus Disease
Cytomegalovirus (CMV) disease is caused by human cytomegalovirus, a double-stranded DNA virus of the Herpesviridae family. While primary CMV infection is often asymptomatic in immunocompetent individuals, the virus can cause severe disease in neonates and immunocompromised patients. CMV is the most common cause of congenital viral infection in the United States, and a major pathogen in solid organ and hematopoietic stem cell transplant recipients.CMV is transmitted via bodily fluids, sexual...
Cryptococcal Meningitis
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,...
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: 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...
