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Learning objectives

  • Identify the most common acellular pathogens that can cause infections of the nervous system
  • Compare the major characteristics of specific viral diseases affecting the nervous system

A number of different viruses and subviral particles can cause diseases that affect the nervous system. Viral diseases tend to be more common than bacterial infections of the nervous system today. Fortunately, viral infections are generally milder than their bacterial counterparts and often spontaneously resolve. Some of the more important acellular pathogens of the nervous system are described in this section.

Viral meningitis

Although it is much more common than bacterial meningitis, viral meningitis is typically less severe. Many different viruses can lead to meningitis as a sequela of the primary infection, including those that cause herpes , influenza , measles , and mumps . Most cases of viral meningitis spontaneously resolve, but severe cases do occur.

Arboviral encephalitis

Several types of insect-borne viruses can cause encephalitis. Collectively, these viruses are referred to as arboviruses (because they are ar thropod- bo rne), and the diseases they cause are described as arboviral encephalitis . Most arboviruses are endemic to specific geographical regions. Arborviral encephalitis diseases found in the United States include eastern equine encephalitis (EEE), western equine encephalitis (WEE), St. Louis encephalitis, and West Nile encephalitis (WNE). Expansion of arboviruses beyond their endemic regions sometimes occurs, generally as a result of environmental changes that are favorable to the virus or its vector. Increased travel of infected humans, animals, or vectors has also allowed arboviruses to spread into new regions.

In most cases, arboviral infections are asymptomatic or lead to a mild disease. However, when symptoms do occur, they include high fever, chills, headaches, vomiting, diarrhea, and restlessness. In elderly patients, severe arboviral encephalitis can rapidly lead to convulsions, coma, and death.

Mosquitoes are the most common biological vectors for arboviruses, which tend to be enveloped ssRNA viruses. Thus, prevention of arboviral infections is best achieved by avoiding mosquitoes—using insect repellent, wearing long pants and sleeves, sleeping in well-screened rooms, using bed nets, etc.

Diagnosis of arboviral encephalitis is based on clinical symptoms and serologic testing of serum or CSF. There are no antiviral drugs to treat any of these arboviral diseases, so treatment consists of supportive care and management of symptoms.

Eastern equine encephalitis (EEE) is caused by eastern equine encephalitis virus (EEEV), which can cause severe disease in horses and humans. Birds are reservoirs for EEEV with accidental transmission to horses and humans by Aedes , Coquillettidia , and Culex species of mosquitoes. Neither horses nor humans serve as reservoirs. EEE is most common in US Gulf Coast and Atlantic states. EEE is one of the more severe mosquito-transmitted diseases in the United States, but fortunately, it is a very rare disease in the United States ( [link] ). US Centers for Disease Control and Prevention, “Eastern Equine Encephalitis Virus Disease Cases and Deaths Reported to CDC by Year and Clinical Presentation, 2004–2013,” 2014. http://www.cdc.gov/EasternEquineEncephalitis/resources/EEEV-Cases-by-Year_2004-2013.pdf. US Centers for Disease Control and Prevention, “Eastern Equine Encephalitis, Symptoms&Treatment, 2016,” Accessed June 29, 2016. https://www.cdc.gov/easternequineencephalitis/tech/symptoms.html.

Questions & Answers

what are ways of handling sharps
namugenyi Reply
describe the process of platelet formation
Joy Reply
what is parasitic helminths
Sadiya Reply
list three categories of symbiotic relationships.
mary Reply
what's the difference between microbial intoxication and infectious diseases
dranimva Reply
microbial intoxication results when a person ingests a toxin or a poisonous substance that has been produced by a microbe while infectious disease results when a pathogen colonize the body and subsequently cause disease.
mary
weighing balance is needed in lab of microbiology for weighing?
amna Reply
It is mainly used for media preparation and product testing purpose.
Nakaweesi
thank you for your joining
nuur
what is microbiology
Shamsuddeen Reply
study of living organisms that are too small to be visible with naked eye
Marah
yes
Ahmed
microbiology is the study of microscopic organisms, either unicellular(single cell), multicellular( cell colony), or acellular (lacking cell).
munachimso
is the word Atypical or a typical bacteria. .am confused pliz help
MUWANGUZI Reply
typical bacteria
Zulpha
okay thank you what does that mean
MUWANGUZI
atypical means that it has some characters from bacteria not all characters ...but tybical means that it has all the characters that bacteria have
Reham
thank you Zulpha
MUWANGUZI
some examples please
MUWANGUZI
thank you Reham
MUWANGUZI
1) typical bacteria contain a cell wall whereas atypical bacteria usually do not contain a cell . 2) typical bacteria can be either Gram-positive or Gram-negative while atypical bacteria remain colorless with Gram staining. 3) cells of typical bacteria are large ,while cells of the atypical small
Marah
Example of atypical : Mycoplasma pneumoniae , chlamydophila pneumoniae , legionella
Marah
what is micro biology
Jauharah Reply
is the study of organisms which can't be viewed by our necked eyes
Egumat
Because it preexisting causing secondary infection after collateral damage of normal microbota
Rafaa Reply
combinations of drugs that can't be taken together and why
Grace Reply
Antagonism: the combined action is less than that of the more effective agent when used alone). All these effects may be observed in vitro (particularly in terms of bactericidal rate) and in vivo والله اعلم
Lenovo
....fermentros have 1-15litre capacity
AMAR Reply
which of the following microorganisms are classified as eukaryotic?
Semugab Reply
how do I see the list?
Melissa
what are the choices?
Melissa
dear tell us the choices
MUWANGUZI
mr semugab give us the list please
Nambi
Fungi
munachimso
what are the new discoveries of microorganisms
Ezibon Reply
bacteriology,viriology,micrology
Egumat
understanding of contributed to attempts to treat contain disease
james Reply

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Source:  OpenStax, Microbiology. OpenStax CNX. Nov 01, 2016 Download for free at http://cnx.org/content/col12087/1.4
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