ETIDIOH - NEW

Abstract The H1N1 virus commonly causes symptoms such as fever, cough, sore throat, which have a self-limited course in most cases . Neurological complications are rare, especially in adults. This case illustrates H1N1-associated acute leukoencephalopathy in a young adult with a favorable outcome and no lasting neurological deficits . The initial presentation included fever, sore throat, and myalgia , evolving into neurological symptoms , including dysarthria, nystagmus, and left-sided motor weakness . Comprehensive laboratory tests ruled out common bacterial, viral, or autoimmune causes, while MRI findings suggested acute leukoencephalopathy of infectious or toxic etiology. Although the urine toxicology screen showed traces of phenol , clinical evidence did not correlate with toxic exposure and pointed towards an infectious origin. A throat swab for Influenza/H1N1 PCR confirmed the diagnosis. Treatment with oseltamivir and methylprednisolone led to symptomatic improvement with no sequ...

ABSTRACT Newly emerging or “re-emerging” influenza viruses have been regarded as a huge global threat to human public health . However, there are few reports of human deaths caused by newly emerging influenza viruses derived from pigs and poultry . Here, we described the clinical and virological features of a fatal encephalitis caused by a novel H3N2 reassortant virus generated from swine H3N2 and human H7N9 viruses. A 7-year-old boy was diagnosed with acute encephalitis in Yixing, China, in August 2022. Chest computed tomography (CT) showed mild pneumonia . Brain CT indicated acute encephalitis companied brain parenchyma swelling. Haematological examinations revealed a markedly elevation of lactate dehydrogenase, alanine aminotransferase, aspartate aminotransferase, creatine kinase and cytokines . Pathogenic analysis confirmed that a novel H3N2 virus (A/Yixing/805/2022, YX805) was responsible for this case. Phylogenetic analysis showed that the surface protein-coding genes were origin...

Abstract In this report, we document and analyze a case in which the Irkut virus (IRKV) (Mononegavirales: Rhabdoviridae) caused a fatal human case following a bat bite in June 2021. Unfortunately, the available data did not permit a detailed taxonomic classification of the carrier bat ( Chiroptera ). The event occurred in the southwestern part of the Sikhote-Alin mountain region (Russian Far East) covered by the Ussuri taiga forest . The symptoms of the illness began with the following: fever ; pronounced psychomotor and motor agitation ; tremor of the lower jaw and tongue ; aphasia; dyslexia; and dysphagia . These rapidly developed, leading to a severe and fatal encephalitis . The patient was not vaccinated for rabies and did not receive rabies immunoglobulin. Using brain sections prepared from the deceased, molecular diagnostics were performed: immunofluorescence (polyclonal anti-rabies immunoglobulin) indicating the presence of the lyssavirus antigen ; and RT-PCR indicating traces o...

ABSTRACT Respiratory and encephalitic virus infections represent a significant risk to public health globally . Detailed investigations of immunological responses and disease outcomes during sequential virus infections are rare. Here, we define the impact of influenza virus infection on a subsequent virus encephalitis . We used a model system in which mice were given influenza A virus (IAV) infection 8 days prior to Semliki Forest virus (SFV) infection (IAV→SFV). IAV infection clearly attenuated the subsequent SFV infection with reduced titers of infectious SFV and lower levels of cytokines and chemokines in the central nervous system ( CNS ). In contrast, the SFV viremia in both IAV→SFV and SFV-only mice was comparable. Increased type I interferon (IFN) levels in the CNS after IAV infection might have contributed to some level of protection towards SFV infection in the CNS, suggesting that early control of SFV replication in the CNS during IAV→SFV infection led to reduced adaptive res...

Abstract The European subtype of tick-borne encephalitis virus (TBEV-Eur; species Orthoflavivirus encephalitidis , family Flaviviridae ) was the only tick-borne flavivirus present in central Europe known to cause neurologic disease in humans and several animal species . Here, we report a tick-borne flavivirus isolated from Alpine chamois (Rupicapra rupicapra rupicapra) with encephalitis and attached ticks , present over a wide area in the Alps . Cases were detected in 2017 in Salzburg, Austria , and 2023 in Lombardy and Piedmont, Italy . The virus strains exhibit 94.8–97.3% nucleotide identities to each other and are more closely related to Louping ill viruses (LIV; Orthoflavivirus loupingi ; 90–92% identities) than to TBEV-Eur (less than 88%). The chamois-derived virus strains, tentatively termed “ Alpine chamois encephalitis virus ”, form a well-supported independent genetic clade with Spanish goat encephalitis virus , clearly separated from other LIV. This supports its designation a...

Abstract Neurological manifestations associated with human parvovirus B19 (B19V) infections are rare and varied. Acute encephalitis and encephalopathy are the most common, accounting for 38.8% of all neurological manifestations associated with human B19V. Herein, we report on the clinical features of 13 laboratory-confirmed human cases of B19V-associated encephalitis in Senegal in the framework of a hospital-based surveillance of acute viral encephalitis conducted from 2021 to 2023. Overall, B19V was detected from 13 cerebrospinal fluid samples using specific real time PCR. The mean age was 16.7 years among B19V-positive patients, with a higher prevalence in 0–5-year-old children and the sex ratio (male/female) was 2.25. The B19V-positive patients mainly exhibited hypoleukocytosis, normal glycorrhachia, and normal proteinorrachia in the cerebrospinal fluid. While the main neurological symptoms included meningeal and infectious syndromes . Furthermore, three complete B19V genome sequenc...