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Japanese encephalitis virus
Epidemiology:
- endemic in most of Asia & parts of western Pacific
- infection follows bite of Colex mosquitoes
Clinical manifestations:
- rarely symptomatic
- presentation with non-specific fever with headache
- neurologic symptoms may develop rapidly
- encephalitis most common
- focal neurologic signs
- paresis
- cranial nerve palsy
- flaccid paralysis
- parkinsonism
- coma
- may present as mild, febrile aseptic meningitis
Laboratory:
- Japanese encephalitis virus serology
- Japanese encephalitis virus IgM in CSF (early) [1]
- Japanese encephalitis virus IgM in serum (later) [1]
- Japanese encephalitis virus antigen
- Japanese encephalitis virus RNA
Radiology:
- MRI of brain
- thalamic lesions
Management:
- Japanese encephalitis virus vaccine
Related
Japanese encephalitis virus vaccine (JE-VAX, Ixiaro)
General
encephalitis virus
flaviviridae
Properties
KINGDOM: virus
GENOME-TYPE: RNA
SINGLE-STRANDED
NEGATIVE-STRAND
GENOME-SIZE: 10 kB
ENVELOPE: PRESENT
CAPSID-SYMMETRY: ICOSAHEDRAL
References
- Medical Knowledge Self Assessment Program (MKSAP) 19.
American College of Physicians, Philadelphia 2021