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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 is infectious
Fred Reply
Many poeple are die due to covid-19 virus
AMINU Reply
they become sick due to millions bacteria, fungi and some insects that make plants as their host.
charles Reply
what are microbes and what are their effects to humans
charles Reply
classify microorganisms.
Satarupa Reply
protozoa' bacteria' virus' algai' archea'
Cabdifitaax
protozoa
Ayesha
Thank you
Satarupa
mutant having a requirement for a certain growth factor is called a(n)
Purushoth Reply
what is atome
Marie Reply
is the smallest part of any material that cannot be broken up by chemical means
Feisal
How does forest tree become sick
Emmanuel
Aseptate hyphae are seen in
lab Reply
yes
Ahmed
w
Ahmed
hello
Apdikrim
what is ADT
Feisal
hii
Salman
how does this work bro
Feisal
CHEMISTRY
Apdikrim
biology
Ahmed
I.m student
Ahmed
I.m question what is difference between arthropod and insect?
Ahmed
Arthropod is a large division of jointed-foot Invertebrates such as Insects, centipedes and others so Insect is a part of the division or the phylum
hilina
thanks
Ahmed
ur welcome
hilina
describe binary fission
Queen Reply
in which parent cell devides into two daughter cells
Iqra
single parent cell
Tean
who is the father of microbiology
Mary Reply
Antonie van Leeuwenhoek , he is father of microbiology and Louis Pasteur is father of modern microbioloy.
Arshad
Anton van leeuwenhoek ( He descovered bacteria in 1679)
Satarupa
what is the role of protein in virus genome
Rana Reply
what is microbiological
Apdikrim Reply
Science is a good Subject
AMINU Reply
yes it is
Madrine
what is amoeba
Joy Reply
a single celled organism with finger like extensions
janet
they could either be free living or parasitic
janet
is an organisms with no shape
Joy
What is microbiology
Ashaq Reply
is the branch that deals with microorganisms
Nakaweesi
is the science which deals with the study of microorganisms whether they may be plants or animals .
Sona
it is also deals instruments?
LEE

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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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