encephalitis

Third Sector Awards 2019: Communications Campaign of the Year - Encephalitis Society for World Encephalitis Day 2019

Awarded to a charity for a highly successful, innovative or inspiring communications campaign




encephalitis

A Death in New Hampshire is Blamed on Eastern Equine Encephalitis

Mosquitoes are the deadliest animals in the world because of the diseases they carry, indulging malaria and dengue. Mosquito-borne diseases are becoming ...





encephalitis

Japanese Encephalitis: Emerging Concern for Assam

Tropical diseases have always remained a big challenge to combat for public health professionals. In recent times, Assam has been recording a steady rise in medlinkvector-borne diseases/medlink.




encephalitis

What is Eastern equine encephalitis?

Eastern equine encephalitis is a dangerous and deadly mosquito-borne illness. Here's what you need to know about it and how to protect yourself.



  • Fitness & Well-Being

encephalitis

Long-term Motor and Cognitive Outcome of Acute Encephalitis

Encephalitis in children can cause significant neurologic sequelae, such as motor and cognitive impairment. Previous reported data are based mostly on questionnaires and clinical assessments.

Significant cognitive impairment, attention-deficit/hyperactivity disorder, and learning disabilities are common after childhood encephalitis. Even children who were considered fully recovered may be significantly affected. Identifiable pathogens, abnormal neuroimaging, and abnormal neurologic examination on discharge are risk factors of poor outcome. (Read the full article)




encephalitis

Infectious and Autoantibody-Associated Encephalitis: Clinical Features and Long-term Outcome

Encephalitis is a serious and disabling condition. There are infectious and immune-mediated causes of encephalitis, but many cases remain undiagnosed.

This large single-center study on childhood encephalitis provides insight into the relative frequency and clinicoradiologic phenotypes of infectious, autoantibody-associated, and unknown encephalitis. Risk factors for an abnormal outcome are also defined. (Read the full article)




encephalitis

Infectious and Autoimmune Causes of Encephalitis in Children

Among 231 children with confirmed encephalitis, we found higher-than-expected prevalence of WNV, Bartonella spp, and autoimmune disease despite infrequent testing.




encephalitis

Sussex County Horse Tests Positive for Eastern Equine Encephalitis

A horse from Sussex County has tested positive for Eastern Equine Encephalitis, a mosquito-borne disease, the Delaware Department of Agriculture announced today.




encephalitis

A Chimeric Japanese Encephalitis Vaccine Protects against Lethal Yellow Fever Virus Infection without Inducing Neutralizing Antibodies

ABSTRACT

Recent outbreaks of yellow fever virus (YFV) in West Africa and Brazil resulted in rapid depletion of global vaccine emergency stockpiles and raised concerns about being unprepared against future YFV epidemics. Here we report that a live attenuated virus similar to the Japanese encephalitis virus (JEV) vaccine JE-CVax/Imojev that consists of YFV-17D vaccine from which the structural (prM/E) genes have been replaced with those of the JEV SA14-14-2 vaccine strain confers full protection in mice against lethal YFV challenge. In contrast to the YFV-17D-mediated protection against YFV, this protection is not mediated by neutralizing antibodies but correlates with YFV-specific nonneutralizing antibodies and T cell responses against cell-associated YFV NS1 and other YFV nonstructural (NS) proteins. Our findings reveal the potential of YFV NS proteins to mediate protection and demonstrate that chimeric flavivirus vaccines, such as Imojev, could confer protection against two flaviviruses. This dual protection may have implications for the possible off-label use of JE-CVax in case of emergency and vaccine shortage during YFV outbreaks. In addition, populations in Asia that have been vaccinated with Imojev may already be protected against YFV should outbreaks ever occur on that continent, as several countries/regions in the Asia-Pacific are vulnerable to international spread of the YFV.

IMPORTANCE Efficient and safe vaccines against yellow fever (e.g., YFV-17D) that provide long-lasting protection by rapidly inducing neutralizing antibody responses exist. However, the vaccine supply cannot cope with an increasing demand posed by urban outbreaks in recent years. Here we report that JE-CVax/Imojev, a YFV-17D-based chimeric Japanese encephalitis vaccine, also efficiently protects against YFV infection in mice. In case of shortage of the YFV vaccine during yellow fever outbreaks, (off-label) use of JE-CVax/Imojev may be considered. Moreover, wider use of JE-CVax/Imojev in Asia may lower the risk of the much-feared YFV spillover to the continent. More generally, chimeric vaccines that combine surface antigens and replication machineries of two distinct flaviviruses may be considered dual vaccines for the latter pathogen without induction of surface-specific antibodies. Following this rationale, novel flavivirus vaccines that do not hold a risk for antibody-dependent enhancement (ADE) of infection (inherent to current dengue vaccines and dengue vaccine candidates) could be designed.




encephalitis

Worldwide survey of neurologists on approach to autoimmune encephalitis

Objective

To explore practice differences in the diagnosis and management of autoimmune encephalitis (AE), which is complicated by issues with sensitivity/specificity of antibody testing, nonspecific MRI/EEG/CSF findings, and competing differential diagnoses.

Methods

We used a worldwide electronic survey with practice-related demographic questions and clinical questions about 2 cases: (1) a 20-year-old woman with a neuropsychiatric presentation strongly suspicious of AE and (2) a 40-year-old man with new temporal lobe seizures and cognitive impairment. Responses among different groups were compared using multivariable logistic regression.

Results

We received 1,333 responses from 94 countries; 12.0% identified as neuroimmunologists. Case 1: those treating >5 AE cases per year were more likely to send antibodies in both serum and CSF (adjusted odds ratio [aOR] vs 0 per year: 3.29, 95% CI 1.31–8.28, p = 0.011), pursue empiric immunotherapy (aOR: 2.42, 95% CI 1.33–4.40, p = 0.004), and continue immunotherapy despite no response and negative antibodies at 2 weeks (aOR: 1.65, 95% CI 1.02–2.69, p = 0.043). Case 2: neuroimmunologists were more likely to send antibodies in both serum and CSF (aOR: 1.80, 95% CI 1.12–2.90, p = 0.015). Those seeing >5 AE cases per year (aOR: 1.86, 95% CI 1.22–2.86, p = 0.004) were more likely to start immunotherapy without waiting for antibody results.

Conclusions

Our results highlight the heterogeneous management of AE. Neuroimmunologists and those treating more AE cases generally take a more proactive approach to testing and immunotherapy than peers. Results highlight the need for higher-quality cohorts and trials to guide empiric immunotherapy, and evidence-based guidelines aimed at both experts and nonexperts. Because the average AE patient is unlikely to be first seen by a neuroimmunologist, ensuring greater uniformity in our approach to suspected cases is essential to ensure that patients are appropriately managed.




encephalitis

Clinical and imaging features of children with autoimmune encephalitis and MOG antibodies

Objective

To describe the presentations, radiologic features, and outcomes of children with autoimmune encephalitis associated with myelin oligodendrocyte glycoprotein antibodies (MOG abs).

Methods

Identification of children fulfilling the diagnostic criteria for possible autoimmune encephalitis (AE) and testing positive for serum MOG abs. Chart review and comprehensive analysis of serum MOG abs using live cell assays and rat brain immunohistochemistry.

Results

Ten children (4 girls, 6 boys) with AE and serum MOG abs were identified. The median age at onset was 8.0 years (range: 4–16 years). Children presented with a combination of encephalopathy (10/10), headache (7/10), focal neurologic signs (7/10), or seizures (6/10). CSF pleocytosis was common (9/10, median 80 white cell count/μL, range: 21–256). Imaging showed cortical and deep gray matter involvement in all in addition to juxtacortical signal alterations in 6/10 children. No involvement of other white matter structures or contrast enhancement was noted. MOG abs were detected in all children (median titer 1:640; range: 1:320–1:10,540). Nine children had a favorable outcome at discharge (modified Rankin scale of < 2). Five of 10 children had up to 3 additional demyelinating relapses associated with persisting MOG abs. One child had NMDA receptor (NMDAR) abs at initial presentation. A second child had a third demyelinating episode with MOG abs with overlapping NMDAR encephalitis.

Discussion

AE associated with serum MOG abs represents a distinct form of autoantibody-mediated encephalitis in children. We therefore recommend including MOG abs testing in the workup of children with suspected AE.




encephalitis

Clinical approach to the diagnosis of autoimmune encephalitis in the pediatric patient




encephalitis

World Encephalitis Day: A Global Issue That Needs a Human Solution

Highlights: World Encephalitis Day is celebrated annually on 22 nd February Its major objective is to raise awaren




encephalitis

U.P. mismanaging encephalitis epidemic


Japanese Encephalitis, the deadly virus infection, is not new to Uttar Pradesh -- the first outbreak took place in 1978, and since then every year. But JE is predictable and self-limiting, giving health authorities clear opportunities to save lives. Still, the 2005 monsoon season has seen more chaotic management and more deaths, says Abhijit Das.




encephalitis

Encephalitis claims four more lives in Uttar Pradesh, toll 275

1,347 encephalitis patients have been admitted to various hospitals since January.




encephalitis

Encephalitis claims 11 lives in 3 days; toll climbs to 330

As many as 60 fresh encephalitis patients have been admitted to the government hospital.




encephalitis

6 more succumb to encephalitis; toll mounts to 590

With this, the no. of AES patients admitted in different govt hospitals this year climbed to 2,823.




encephalitis

The 2012 West Nile Encephalitis Epidemic in Dallas, Texas

Interview with Wendy M. Chung, MD, SM, author of The 2012 West Nile Encephalitis Epidemic in Dallas, Texas




encephalitis

Developement of a micropshere-based immunoassay for the detection of IgM antibodies to West Nile virus and St. Louis Encephalitis virus in sentinel chicken sera




encephalitis

Impact of West Nile virus on the natural history of St. Louis encephalitis virus in Florida




encephalitis

Luminex microsphere immunoassay offers an improved method in testing for antibodies to Eastern Equine Encephalitis virus in sentinel chicken sera