CC BY-NC-ND 4.0 · Ann Natl Acad Med Sci 2019; 55(02): 098-109
DOI: 10.1055/s-0039-1697767
Review Article
National Academy of Medical Sciences (India)

Viral Encephalitis: A Hard Nut to Crack

Alka Shukla
1   Department of Microbiology, Viral Research and Diagnostic Laboratory, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Mayank Gangwar
1   Department of Microbiology, Viral Research and Diagnostic Laboratory, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Sonam Rastogi
1   Department of Microbiology, Viral Research and Diagnostic Laboratory, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
,
Gopal Nath
1   Department of Microbiology, Viral Research and Diagnostic Laboratory, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India
› Author Affiliations
Funding The authors gratefully acknowledge the support provided by Department of Health Research under the Ministry of Health & Family Welfare (Government of India), New Delhi, India, and Indian Council of Medical Research (ICMR) in the form of establishment of state level Viral Research and Diagnostic Laboratory network under scheme 5066.
Further Information

Publication History

Publication Date:
02 October 2019 (online)

Abstract

Viral encephalitis is inflammation of brain that manifests as neurological complication of viral infections. There are quite a good number of viruses, for example, human herpes virus, Japanese encephalitis, and enteroviruses that can result in such a dreadful condition. Geographical location, age, gender, immune status, and climatic conditions also contribute to the establishment of this disease in an individual. Clinical signs and symptoms include fever, headache, altered level of consciousness, changed mental status, body ache, seizures, nausea, and vomiting. Effective management of this disease relies on timely diagnosis that in turn depends on apt and suitable investigation techniques. Traditional investigations have thinned out these days owing to the fact that advanced molecular technologies have been introduced to the diagnostic field. Treatment of viral encephalitis mainly involves symptomatic relieve from fever, malaise, myalgia along with measures to reduce viral load in the patient. This review mentions about all the possible aspects of viral encephalitis starting from etiology to the management and preventive measures that include immunization and vector control.

 
  • References

  • 1 Romero JR, Newland JG. Viral meningitis and encephalitis: traditional and emerging viral agents. Semin Pediatr Infect Dis 2003; 14 (02) 72-82
  • 2 Swanson PA, McGavern II DB. Viral diseases of the central nervous system. Curr Opin Virol 2015; 11: 44-54
  • 3 Solomon T, Hart IJ, Beeching J. Viral encephalitis: a clinician’s guide. Practical Neurology 2007; 7: 288-305
  • 4 Granerod J, Ambrose HE, Davies NW. et al. UK Health Protection Agency (HPA) Aetiology of Encephalitis Study Group. Causes of encephalitis and differences in their clinical presentations in England: a multicentre, population-based prospective study. Lancet Infect Dis 2010; 10 (12) 835-844
  • 5 Kennedy PG. Viral encephalitis: causes, differential diagnosis, and management. J Neurol Neurosurg Psychiatry 2004; 75 (Suppl 1) i10-i15
  • 6 Kennedy PGE, Quan PL, Lipkin WI. Viral encephalitis of unknown cause: current perspective and recent advances. Viruses 2017; 9 (06) 138
  • 7 Mutton K, Guiver M. Laboratory techniques for human viral encephalitis diagnosis. Infect Disord Drug Targets 2011; 11 (03) 206-234
  • 8 Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett’s Principles and Practice of Infectious Diseases. Philadelphia, PA: Churchill Livingstone/Elsevier; 2010
  • 9 Vigevano F, De LisoP. Differential Diagnosis. In: Yamanouchi H, Moshe S, Okumura A. eds. Acute encephalopathy and encephalitis in infancy and its related disorders. Elsevier Inc; 2018
  • 10 Flamand L. Human Herpes viruses HHV-6A, HHV-6B & HHV-7. Burlington: Elsevier Science; 2014
  • 11 Jmor F, Emsley HC, Fischer M, Solomon T, Lewthwaite P. The incidence of acute encephalitis syndrome in Western industrialised and tropical countries. Virol J 2008; 5: 134-146
  • 12 Vora NM, Holman RC, Mehal JM, Steiner CA, Blanton J, Sejvar J. Burden of encephalitis-associated hospitalizations in the United States 1998-2010. Neurology 2014; 82 (05) 443-451
  • 13 Graus F, Titulaer MJ, Balu R. et al. A clinical approach to diagnosis of autoimmune encephalitis. Lancet Neurol 2016; 15 (04) 391-404
  • 14 Jain P, Jain A, Kumar A. et al. Epidemiology and etiology of acute encephalitis syndrome in North India. Jpn. J Infect Dis 2014; 67 (03) 197-203
  • 15 Beig FK, Malik A, Rizvi M, Acharya D, Khare S. Etiology and clinico-epidemiological profile of acute viral encephalitis in children of western Uttar Pradesh, India. Int. J Infect Dis 2010; 14 (02) e141
  • 16 Ghosh S, Basu A. Acute encephalitis syndrome in India: the changing scenario. Ann Neurosci 2016; 23 (03) 131-133
  • 17 Joshi R, Kalantri SP, Reingold A, Colford Jr JM. Changing landscape of acute encephalitis syndrome in India: a systematic review. Natl Med J India 2012; 25 (04) 212-220
  • 18 Parpia AS, Li Y, Chen C, Dhar B, Crowcroft NS. Encephalitis, Ontario, Canada, 2002-2013. Emerg Infect Dis 2016; 22 (03) 426-432
  • 19 Barry H, Byrne S, Barrett E, Murphy KC, Cotter DR. Anti-N-methyl-d-aspartate receptor encephalitis: review of clinical presentation, diagnosis and treatment. BJPsych Bull 2015; 39 (01) 19-23
  • 20 Florance NR, Davis RL, Lam C. et al. Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis in children and adolescents. Ann Neurol 2009; 66 (01) 11-18
  • 21 Chaudhuri A, Kennedy PGE. Diagnosis and treatment of viral encephalitis. Postgrad Med J 2002; 78 (924) 575-583
  • 22 Lancaster E. The diagnosis and treatment of autoimmune encephalitis. J Clin Neurol 2016; 12 (01) 1-13
  • 23 Stone MJ, Hawkins CP. A medical overview of encephalitis. Neuropsychol Rehabil 2007; 17 (04) (05) 429-449
  • 24 Barbadoro P, Marigliano A, Ricciardi A, D’Errico MM, Prospero E. Trend of hospital utilization for encephalitis. Epidemiol Infect 2012; 140 (04) 753-764
  • 25 Shives KD, Tyler KL, Beckham JD. Molecular mechanisms of neuroinflammation and injury during acute viral encephalitis. J Neuroimmunol 2017; 308: 102-111
  • 26 Boucher A, Herrmann JL, Morand P. et al. Epidemiology of infectious encephalitis causes in 2016. Med Mal Infect 2017; 47 (03) 221-235
  • 27 Kumar S, Pandey AK, Gutch M. et al. Acute viral encephalitis clinical features and outcome: experience from a tertiary center of North India. Ann Trop Med Public Health 2015; 8: 262-266
  • 28 Johnson RT, Mims GA. Pathogenesis for viral infections of the nervous system. N Engl J Med 1968; 278 (02) 84-92
  • 29 Mims CA. Pathogenesis of Infectious Disease. London: Academic Press; 1977
  • 30 Grifffin DE. Viral infections of central nervous system. In: Galasso JE, Whitley RJ, Marigan TC. eds. Antiviral Agents and Viral Disease of Man. 3rd. edition. New York: Raven Press; 1990: 461-495
  • 31 Whitley RJ, Gnann JW. Viral encephalitis: familiar infections and emerging pathogens. Lancet 2002; 359 9305 507-513
  • 32 Debiasi RL, Tyler KL. Molecular methods for diagnosis of viral encephalitis. Clin Microbiol Rev 2004; 17 (04) 903-925
  • 33 Kennedy PG. Viral encephalitis. J Neurol 2005; 252 (03) 268-272
  • 34 Raine CS, Fields BN. Reovirus type 3 encephalitis-a virologic and ultrastructural study. J Neuropathol. Exp Neurol 1973; 32 (01) 19-33
  • 35 Chua KB, Goh KJ, Wong KT. et al. Fatal encephalitis due to Nipah virus among pig-farmers in Malaysia. Lancet 1999; 354 (9186) 1257-1259
  • 36 de Jong MD, Bach VC, Phan TQ. et al. Fatal avian influenza A (H5N1) in a child presenting with diarrhea followed by coma. N Engl J Med 2005; 352 (07) 686-691
  • 37 Warrell MJ, Warrell DA. Rabies and other lyssavirus diseases. Lancet 2004; 363 (9413) 959-969
  • 38 Quan PL, Wagner TA, Briese T. et al. Astrovirus encephalitis in boy with X-linked agammaglobulinemia. Emerg Infect Dis 2010; 16 (06) 918-925
  • 39 Solomon T, Michael BD, Smith PE. et al. National Encephalitis Guidelines Development and Stakeholder Groups. Management of suspected viral encephalitis in adults-Association of British Neurologists and British Infection Association National Guidelines. J Infect 2012; 64 (04) 347-373
  • 40 Ai J, Xie Z, Liu G. et al. Etiology and prognosis of acute viral encephalitis and meningitis in Chinese children: a multicentre prospective study. BMC Infect Dis 2017; 17 (01) 494
  • 41 Go YY, Balasuriya UBR, Lee C-K. Zoonotic encephalitides caused by arboviruses: transmission and epidemiology of alphaviruses and flaviviruses. Clin Exp Vaccine Res 2014; 3 (01) 58-77
  • 42 Whitley RJ. Viral encephalitis. N Engl J Med 1990; 323 (04) 242-250
  • 43 Huppatz C, Durrheim DN, Levi C. et al. Etiology of encephalitis in Australia, 1990-2007. Emerg Infect Dis 2009; 15 (09) 1359-1365
  • 44 Granerod J, Tam CC, Crowcroft NS, Davies NW, Borchert M, Thomas SL. Challenge of the unknown. A systematic review of acute encephalitis in non-outbreak situations. Neurology 2010; 75 (10) 924-932
  • 45 Mailles A, Stahl J-P. Steering Committee and Investigators Group. Infectious encephalitis in France in 2007: a national prospective study. Clin Infect Dis 2009; 49 (12) 1838-1847
  • 46 de Ory F, Avellón A, Echevarría JE. et al. Viral infections of the central nervous system in Spain: a prospective study. J Med Virol 2013; 85 (03) 554-562
  • 47 Lee T-C, Tsai C-P, Yuan C-L. et al. Encephalitis in Taiwan: a prospective hospital-based study. Jpn J Infect Dis 2003; 56 (05) (06) 193-199
  • 48 Khetsuriani N, Holman RC, Anderson LJ. Burden of encephalitis-associated hospitalizations in the United States, 1988-1997. Clin Infect Dis 2002; 35 (02) 175-182
  • 49 Davison KL, Crowcroft NS, Ramsay ME, Brown DW, Andrews NJ. Viral encephalitis in England, 1989-1998 what did we miss?. Emerg Infect Dis 2003; 9 (02) 234-240
  • 50 Trevejo RT. Acute encephalitis hospitalizations, California, 1990-1999 unrecognized arboviral encephalitis?. Emerg Infect Dis 2004; 10 (08) 1442-1449
  • 51 Mehal JM, Holman RC, Vora NM, Blanton J, Gordon PH, Cheek JE. Encephalitis-associated hospitalizations among American Indians and Alaska Natives. Am J Trop Med Hyg 2014; 90 (04) 755-759
  • 52 Kelly TA, O’Lorcain P, Moran J. et al. Underreporting of viral encephalitis and viral meningitis, Ireland, 2005-2008. Emerg Infect Dis 2013; 19 (09) 1428-1436
  • 53 Quist-Paulsen E, Kran AM, Dunlop O, Wilson J, Ormaasen V. Infectious encephalitis: a description of a Norwegian cohort. Scand. J Infect Dis 2013; 45 (03) 179-185
  • 54 Rantalaiho T, Färkkilä M, Vaheri A, Koskiniemi M. Acute encephalitis from 1967 to 1991. J Neurol Sci 2001; 184 (02) 169-177
  • 55 Frantzidou F, Kamaria F, Dumaidi K, Skoura L, Antoniadis A, Papa A. Aseptic meningitis and encephalitis because of herpesviruses and enteroviruses in an immunocompetent adult population. Eur. J Neurol 2008; 15 (09) 995-997
  • 56 Mawuntu AHP, Bernadus JBB, Dhenni R. et al. Detection of central nervous system viral infections in adults in Manado, North Sulawesi, Indonesia. PLoS One 2018; 13 (11) e0207440
  • 57 Stahl JP, Mailles A, Dacheux L, Morand P. Epidemiology of viral encephalitis in 2011. Med Mal Infect 2011; 41 (09) 453-464
  • 58 George BP, Schneider EB, Venkatesan A. Encephalitis hospitalization rates and inpatient mortality in the United States, 2000-2010. PLoS One 2014; 9 (09) e104169
  • 59 Whitley RJ. Herpes simplex encephalitis: adolescents and adults. Antiviral Res 2006; 71 (02) (03) 141-148
  • 60 Singh TD, Fugate JE, Rabinstein AA. The spectrum of acute encephalitis: causes, management, and predictors of outcome. Neurology 2015; 84 (04) 359-366
  • 61 Le VT, Phan TQ, Do QH. et al. Viral etiology of encephalitis in children in southern Vietnam: results of a one-year prospective descriptive study. PLoS Negl Trop Dis 2010; 4 (10) e854
  • 62 Joshi R, Mishra PK, Joshi D. et al. Clinical presentation, etiology, and survival in adult acute encephalitis syndrome in rural Central India. Clin Neurol Neurosurg 2013; 115 (09) 1753-1761
  • 63 Olsen SJ, Campbell AP, Supawat K. et al. Thailand Encephalitis Surveillance Team. Infectious causes of encephalitis and meningoencephalitis in Thailand, 2003-2005. Emerg Infect Dis 2015; 21 (02) 280-289
  • 64 Centers for Disease Control and Prevention Japanese Encephalitis Virus. 2015
  • 65 Bookstaver PB, Mohorn PL, Shah A. et al. Management of viral central nervous system infections: a primer for clinicians J Cent Nerv Syst Dis. 2017 09. 1179573517703342
  • 66 Kaewpoowat Q, Salazar L, Aguilera E, Wootton SH, Hasbun R. Herpes simplex and varicella zoster CNS infections: clinical presentations, treatments and outcomes. Infection 2016; 44 (03) 337-345
  • 67 Mailles A, Vaillant V, Stahl J-P. [Infectious encephalitis in France from 2000 to 2002: the hospital database is a valuable but limited source of information for epidemiological studies]. Med Mal Infect 2007; 37 (02) 95-102
  • 68 Centers for Disease Control and Prevention, Varicella. In: Hamborsky J, Kroger A, Wolfe S. eds. Epidemiology and Prevention of Vaccine-Preventable Diseases. 13th. edition. Washington, DC: Public Health Foundation; 2015
  • 69 Glaser CA, Honarmand S, Anderson LJ. et al. Beyond viruses: clinical profiles and etiologies associated with encephalitis. Clin Infect Dis 2006; 43 (12) 1565-1577
  • 70 Koskiniemi M, Rantalaiho T, Piiparinen H. et al. Study Group. Infections of the central nervous system of suspected viral origin: a collaborative study from Finland. J Neurovirol 2001; 7 (05) 400-408
  • 71 Child N, Croxson MC, Rahnama F, Anderson NE. A retrospective review of acute encephalitis in adults in Auckland over a five-year period (2005-2009). J Clin Neurosci 2012; 19 (11) 1483-1485
  • 72 Jain S, Patel B, Bhatt GC. Enteroviral encephalitis in children: clinical features, pathophysiology, and treatment advances. Pathog Glob Health 2014; 108 (05) 216-222
  • 73 Tiwari JK, Malhotra B, Chauhan A. et al. Aetiological study of viruses causing acute encephalitis syndrome in North West India. Indian J Med Microbiol 2017; 35 (04) 529-534
  • 74 Rathore SK, Dwibedi B, Kar SK, Dixit S, Sabat J, Panda M. Viral aetiology and clinico-epidemiological features of acute encephalitis syndrome in eastern India. Epidemiol Infect 2014; 142 (12) 2514-2521
  • 75 Saxena V, Dhole TN. Preventive strategies for frequent outbreaks of Japanese encephalitis in Northern India. J Biosci 2008; 33 (04) 505-514
  • 76 Saxena SK, Mishra N, Saxena R, Singh M, Mathur A. Trend of Japanese encephalitis in North India: evidence from thirty-eight acute encephalitis cases and appraisal of niceties. J Infect Dev Ctries 2009; 3 (07) 517-530
  • 77 Olson LC, Buescher EL, Artenstein MS, Parkman PD. Herpesvirus infections of the human central nervous system. N Engl J Med 1967; 277 (24) 1271-1277
  • 78 Kulkarni MA, Lecocq AC, Artsob H, Drebot MA, Ogden NH. Epidemiology and aetiology of encephalitis in Canada, 1994-2008: a case for undiagnosed arboviral agents?. Epidemiol Infect 2013; 141 (11) 2243-2255
  • 79 Verma RK, Singh DP, Yadav R, Rawat R. Comparative evaluation of antigen detection ELISA and reverse transcriptase PCR in acute stage of Japanese encephalitis prevalent in endemic areas of North-Eastern part of Uttar Pradesh, India. Int J Res Med Sci 2015; 3 (11) 3217-3223
  • 80 Granerod J, Ambrose HE, Davies NW. et al. The aetiology of encephalitis in England: a multi-centre prospective study. Lancet Infect Dis 2010; 10: 835-844
  • 81 Swanson II, Phillip A, McGavern Dorian. 2015 Portals of Viral Entry into the Central Nervous System. 10.1201/b19299-3
  • 82 van Den Pol AN, Mocarski E, Saederup N, Vieira J, Meier TJ. Cytomegalovirus cell tropism, replication, and gene transfer in brain. J Neurosci 1999; 19 (24) 10948-10965
  • 83 Wolinsky JS, Baringer JR, Margolis G, Kilham L. Ultrastructure of mumps virus replication in newborn hamster central nervous system. Lab Invest 1974; 31 (04) 403-412
  • 84 Clay CC, Rodrigues DS, Ho YS. et al. Neuroinvasion of fluorescein-positive monocytes in acute simian immunodeficiency virus infection. J Virol 2007; 81 (21) 12040-12048
  • 85 Tabor-Godwin JM, Ruller CM, Bagalso N. et al. A novel population of myeloid cells responding to coxsackievirus infection assists in the dissemination of virus within the neonatal CNS. J Neurosci 2010; 30 (25) 8676-8691
  • 86 Terry RL, Getts DR, Deffrasnes C, van Vreden C, Campbell IL, King NJ. Inflammatory monocytes and the pathogenesis of viral encephalitis. J Neuroinflammation 2012; 9: 270
  • 87 Tyor W, Harrison T. Mumps and rubella. Handb Clin Neurol 2014; 123: 591-600
  • 88 Jubelt B, Lipton HL. Enterovirus/picornavirus infections. Handb Clin Neurol 2014; 123: 379-416
  • 89 Griffin DE. Measles virus and the nervous system. Handb Clin Neurol 2014; 123: 577-590
  • 90 King NJC, Getts DR, Getts MT, Rana S, Shrestha B, Kesson AM. Immunopathology of flavivirus infections. Immunol Cell Biol 2007; 85 (01) 33-42
  • 91 Dando SJ, Mackay-Sim A, Norton R. et al. Pathogens penetrating the central nervous system: infection pathways and the cellular and molecular mechanisms of invasion. Clin Microbiol Rev 2014; 27 (04) 691-726
  • 92 Johnson RT. The pathogenesis of acute viral encephalitis and postinfectious encephalomyelitis. J Infect Dis 1987; 155 (03) 359-364
  • 93 Steiner I, Budka H, Chaudhuri A. et al. Viral meningoencephalitis: a review of diagnostic methods and guidelines for management. Eur J Neurol 2010; 17 (08) 999-e57
  • 94 Davis LE. Acute viral meningitis and encephalitis. In: Kennedy PGE, Johnston RT. eds. Infections of the Nervous System. London: Butterworths; 1987: 156-176
  • 95 Fischer M, Lindsey N, Staples JE, Hills S. Centers for Disease Control and Prevention (CDC). Japanese encephalitis vaccines: recommendations of the Advisory Committee on Immunization Practices (ACIP) MMWR Recomm Rep. 2010; 59 (RR-1) 1-27
  • 96 Wang D, Coscoy L, Zylberberg M. et al. Microarray-based detection and genotyping of viral pathogens. Proc Natl Acad Sci U S A 2002; 99 (24) 15687-15692
  • 97 Venkatesan A, Tunkel AR, Bloch KC. et al. International Encephalitis Consortium. Case definitions, diagnostic algorithms, and priorities in encephalitis: consensus statement of the international encephalitis consortium. Clin Infect Dis 2013; 57 (08) 1114-1128
  • 98 Britton PN, Eastwood K, Paterson B. et al. Australasian Society of Infectious Diseases (ASID)Australasian College of Emergency Medicine (ACEM)Australian and New Zealand Association of Neurologists (ANZAN)Public Health Association of Australia (PHAA). Consensus guidelines for the investigation and management of encephalitis in adults and children in Australia and New Zealand. Intern Med J 2015; 45 (05) 563-576
  • 99 Anon. Virus diagnostic scanning electronmicroscopy. Lancet 1988; 1 8600 1436-1437
  • 100 Solomon T, Hart IJ, Beeching NJ. Viral encephalitis: a clinician’s guide. Pract Neurol 2007; 7 (05) 288-305
  • 101 Schroth G, Gawehn J, Thron A, Vallbracht A, Voigt K. Early diagnosis of herpes simplex encephalitis by MRI. Neurology 1987; 37 (02) 179-183
  • 102 Launes J, Nikkinen P, Lindroth L, Brownell AL, Liewendahl K, Iivanainen M. Diagnosis of acute herpes simplex encephalitis by brain perfusion single photon emission computed tomography. Lancet 1988; 1 (8596) 1188-1191
  • 103 Launes J, Sirén J, Valanne L. et al. Unilateral hyperfusion in brain-perfusion SPECT predicts poor prognosis in acute encephalitis. Neurology 1997; 48 (05) 1347-1351
  • 104 Davis LE. Diagnosis and treatment of acute encephalitis. Neurologist 2000; 6: 145-159
  • 105 Koskiniemi M, Vaheri A, Taskinen E. Cerebrospinal fluid alterations in herpes simplex virus encephalitis. Rev Infect Dis 1984; 6 (05) 608-618
  • 106 Modlin JF, Dagan R, Berlin LE, Virshup DM, Yolken RH, Menegus M. Focal encephalitis with enterovirus infections. Pediatrics 1991; 88 (04) 841-845
  • 107 Tyler KL. Aseptic meningitis, viral encephalitis and prion diseases. In: Fauci AS, Braunwald E, Isselbacher KJ. et al. eds. Harrison’s Principle of Internal Medicine. 14th. edition. New York: McGraw Hill; 1998: 2439-2451
  • 108 Baringer JR. Herpes simplex virus encephalitis. In: Davis LE, Kennedy PGE. eds. Infectious Diseases of the Nervous System. Oxford: Butterworth-Heinemann; 2000: 139-164
  • 109 Kamei S, Taira N, Ishihara M. et al. Prognostic value of cerebrospinal fluid cytokine changes in herpes simplex virus encephalitis. Cytokine 2009; 46 (02) 187-193
  • 110 Sharief MK, Thompson EJ. A sensitive ELISA system for the rapid detection of virus specific IgM antibodies in the cerebrospinal fluid. J Immunol Methods 1990; 130 (01) 19-24
  • 111 Government of India. Guidelines on clinical management of acute encephalitis syndrome including Japanese Encephalitis. August 2009. Directorate of National Vector Borne Disease Control Programme, Directorate General of Health Services, Ministry of Health & Family Welfare.
  • 112 Booss J, Esiri MM. Pathological features of encephalitis in humans. In: Viral Encephalitis in Humans. Washington, DC: ASM Press; 2003: 3-19
  • 113 Bentivoglio M. Intraneuronal inclusion bodies: from Negri bodies to proteasomal dysfunction. Rend Fis Acc Lincei 2003; 14: 263-279
  • 114 White III CL, Taxy JB. Early morphologic diagnosis of herpes simplex virus encephalitis: advantages of electron microscopy and immunoperoxidase staining. Hum Pathol 1983; 14 (02) 135-139
  • 115 Dubois-Dalcq M, Coblentz JM, Pleet AB. Subacute sclerosing panencephalitis. Unusual nuclear inclusions and lengthy clinical course. Arch Neurol 1974; 31 (06) 355-363
  • 116 Kolski H, Ford-Jones EL, Richardson S. et al. Etiology of acute childhood encephalitis at The Hospital for Sick Children, Toronto, 1994-1995. Clin Infect Dis 1998; 26 (02) 398-409
  • 117 Ball R, Halsey N, Braun MM. et al. VAERS Working Group. Development of case definitions for acute encephalopathy, encephalitis, and multiple sclerosis reports to the vaccine: adverse event reporting system. J Clin Epidemiol 2002; 55 (08) 819-824
  • 118 Sejvar JJ, Kohl KS, Bilynsky R. et al. Brighton Collaboration Encephalitis Working Group. Encephalitis, myelitis, and acute disseminated encephalomyelitis (ADEM): case definitions and guidelines for collection, analysis, and presentation of immunization safety data. Vaccine 2007; 25 (31) 5771-5792
  • 119 Rowley AH, Whitley RJ, Lakeman FD, Wolinsky SM. Rapid detection of herpes-simplex-virus DNA in cerebrospinal fluid of patients with herpes simplex encephalitis. Lancet 1990; 335 8687 440-441
  • 120 Echevarría JM, Casas I, Tenorio A, de Ory F, Martínez-Martín P. Detection of varicella-zoster virus-specific DNA sequences in cerebrospinal fluid from patients with acute aseptic meningitis and no cutaneous lesions. J Med Virol 1994; 43 (04) 331-335
  • 121 Wiedmann M, Wilson WJ, Czajka J, Luo J, Barany F, Batt CA. Ligase chain reaction (LCR)-overview and applications. PCR Methods Appl 1994; 3 (04) S51-S64
  • 122 Liolios L, Jenney A, Spelman D, Kotsimbos T, Catton M, Wesselingh S. Comparison of a multiplex reverse transcription-PCR-enzyme hybridization assay with conventional viral culture and immunofluorescence techniques for the detection of seven viral respiratory pathogens. J Clin Microbiol 2001; 39 (08) 2779-2783
  • 123 Johnson BW, Russell BJ, Lanciotti RS. Serotype-specific detection of dengue viruses in a fourplex real-time reverse transcriptase PCR assay. J Clin Microbiol 2005; 43 (10) 4977-4983
  • 124 Lanciotti RS, Kerst AJ. Nucleic acid sequence-based amplification assays for rapid detection of West Nile and St. Louis encephalitis viruses. J Clin Microbiol 2001; 39 (12) 4506-4513
  • 125 Ledermann JP, Lorono-Pino MA, Ellis C. et al. Evaluation of widely used diagnostic tests to detect West Nile virus infections in horses previously infected with St. Louis encephalitis virus or dengue virus type 2. Clin Vaccine Immunol 2011; 18 (04) 580-587
  • 126 Klein D. Quantification using real-time PCR technology: applications and limitations. Trends Mol Med 2002; 8 (06) 257-260
  • 127 Corless CE, Guiver M, Borrow R, Edwards-Jones V, Fox AJ, Kaczmarski EB. Simultaneous detection of Neisseria meningitidis, Haemophilus influenzae, and Streptococcus pneumoniae in suspected cases of meningitis and septicemia using real-time PCR. J Clin Microbiol 2001; 39 (04) 1553-1558
  • 128 Nolte F, Caliendo A. Molecular detection and identification of microorganisms. In: Murray P, Baron E, Jorgensen J, Landry M, Pfaller M. eds. Manual of Clinical Microbiology. 9th. ed. Washington, DC: ASM Press; 2007. (; 01). 218-244
  • 129 Parida M, Sannarangaiah S, Dash PK, Rao PV, Morita K. Loop mediated isothermal amplification (LAMP): a new generation of innovative gene amplification technique; perspectives in clinical diagnosis of infectious diseases. Rev Med Virol 2008; 18 (06) 407-421
  • 130 Mori Y, Notomi T. Loop-mediated isothermal amplification (LAMP): a rapid, accurate, and cost-effective diagnostic method for infectious diseases. J Infect Chemother 2009; 15 (02) 62-69
  • 131 Mikhailovich V, Gryadunov D, Kolchinsky A, Makarov AA, Zasedatelev A. DNA microarrays in the clinic: infectious diseases. Bio Essays 2008; 30 (07) 673-682
  • 132 Boriskin YS, Rice PS, Stabler RA. et al. DNA microarrays for virus detection in cases of central nervous system infection. J Clin Microbiol 2004; 42 (12) 5811-5818
  • 133 Varro R, Chen R, Sepulveda H, Apgar J. Bead-based multianalyte flow immunoassays: the cytometric bead array system. Methods Mol Biol 2007; 378: 125-152
  • 134 Chung PW, Huang YC, Chang LY, Lin TY, Ning HC. Duration of enterovirus shedding in stool. J Microbiol Immunol Infect 2001; 34 (03) 167-170
  • 135 Tyler KL, Tyler MD. Acute viral encephalitis. N Engl J Med 2018; 379 (06) 557-566
  • 136 Domingues RB. Treatment of viral encephalitis. Cent Nerv Syst Agents Med Chem 2009; 9 (01) 56-62
  • 137 Enting R, de Gans J, Reiss P, Jansen C, Portegies P. Ganciclovir/ foscarnet for cytomegalovirus meningoencephalitis in AIDS. Lancet 1992; 340 8818 559-560
  • 138 Balfour Jr HH. Antiviral drugs. N Engl J Med 1999; 340 (16) 1255-1268
  • 139 Sonneville R, Klein I, de Broucker T, Wolff M. Post-infectious encephalitis in adults: diagnosis and management. J Infect 2009; 58 (05) 321-328
  • 140 Sköldenberg B, Forsgren M, Alestig K. et al. Acyclovir versus vidarabine in herpes simplex encephalitis. Randomised multicentre study in consecutive Swedish patients. Lancet 1984; 02 (8405) 707-711
  • 141 Tzannou I, Papadopoulou A, Naik S. et al. Off-the-shelf virus-specific T cells to treat BK virus, human herpesvirus 6, cytomegalovirus, Epstein-Barr virus, and adenovirus infections after allogeneic hematopoietic stem-cell transplantation. J Clin Oncol 2017; 35 (31) 3547-3557
  • 142 Davies SI, Muranski P. T cell therapies for human polyomavirus diseases. Cytotherapy 2017; 19 (11) 1302-1316
  • 143 Whitley RJ, Lakeman F. Herpes simplex virus infections of the central nervous system: therapeutic and diagnostic considerations. Clin Infect Dis 1995; 20 (02) 414-420
  • 144 Raschilas F, Wolff M, Delatour F. et al. Outcome of and prognostic factors for herpes simplex encephalitis in adult patients: results of a multicenter study. Clin Infect Dis 2002; 35 (03) 254-260
  • 145 Utley TF, Ogden JA, Gibb A, McGrath N, Anderson NE. The long-term neuropsychological outcome of herpes simplex encephalitis in a series of unselected survivors. Neuropsychiatry Neuropsychol Behav Neurol 1997; 10 (03) 180-189
  • 146 McGrath N, Anderson NE, Croxson MC, Powell KF. Herpes simplex encephalitis treated with acyclovir: diagnosis and long term outcome. J Neurol Neurosurg Psychiatry 1997; 63 (03) 321-326
  • 147 McArthur JC. HIV dementia: an evolving disease. J Neuroimmunol 2004; 157 1-2 3-10
  • 148 Ito Y, Kimura H, Yabuta Y. et al. Exacerbation of herpes simplex encephalitis after successful treatment with acyclovir. Clin Infect Dis 2000; 30 (01) 185-187
  • 149 Yang Y, Liang N, Tan Y, Xie Z. Epidemiological trends and characteristics of Japanese encephalitis changed based on the vaccination program between 1960 and 2013 in Guangxi Zhuang Autonomous Region, southern China. Int. J Infect Dis 2016; 45: 135-138
  • 150 Koskiniemi M, Vaheri A. Effect of measles, mumps, rubella vaccination on pattern of encephalitis in children. Lancet 1989; 01 (8628) 31-34