Japanese encephalitis virus (JEV) management

Evidence-based neurology checklist on japanese encephalitis virus (jev) management: Virology This is caused by the Japanese encephalitis virus (JEV): genotypes 1-5 It is a single stranded RNA flavivirus It is endemic in Eastern and South Eastern Asia The vector is the mosquito Culex…

Virology

  • This is caused by the Japanese encephalitis virus (JEV): genotypes 1-5
  • It is a single stranded RNA flavivirus
  • It is endemic in Eastern and South Eastern Asia
  • The vector is the mosquito Culex tritaeniorhynchus
  • Pigs and wild birds are amplifiers
  • It also infects horses and cattle
  • It causes a low level and transient viraemia in humans

Viral studies

Cerebrospinal fluid (CSF) analysis: features

Magnetic resonance imaging (MRI) brain: features

Treatment

Poor prognostic features

Acronym

References

  1. Suman V, Roy U, Panwar A, Raizada A. Japanese encephalitis complicated with obstructive hydrocephalus. J Clin Diagn Res 2016; 10:OD18-OD20.
  2. Morita K, Nabeshima T, Buerano CC. Japanese encephalitis. Rev Sci Tech 2015; 34:441-452.
  3. Misra UK, Kalita J. Overview: Japanese encephalitis. Prog Neurobiol 2010; 91:108-120.
  4. Swami R, Ratho RK, Mishra B, Singh MP. Usefulness of RT-PCR for the diagnosis of Japanese encephalitis in clinical samples. Scand J Infect Dis 2008; 40:815-820.
  5. Narayanan S, Thulaseedharan NK, Subramaniam G, Panarkandy G, Shameer VK, Narayanan A. Hypothermia due to limbic system involvement and longitudinal myelitis in a case of Japanese encephalitis: a case report from India. Int J Gen Med 2017; 10:125-129.
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