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Viral encephalitis

MedGen UID:
116719
Concept ID:
C0243010
Disease or Syndrome
Synonyms: Encephalitis, Viral; Encephalomyelitis, Infectious, Viral; Encephalomyelitis, Viral Infectious; Infectious Encephalomyelitis, Viral; Viral Encephalitis; Viral Infectious Encephalomyelitis
SNOMED CT: Encephalitis, viral (34476008); Viral encephalitis (34476008)
 
HPO: HP:0033993
Monarch Initiative: MONDO:0006009
Orphanet: ORPHA98252

Definition

An inflammation of brain parenchyma due to infection with a virus. Viral encephalitis can occur as a rare complication of common infections (eg, herpes virus infections) or can occur as a characteristic presentation of rare viruses (eg, rabies virus infection). Encephalitis may be the only neurologic manifestation of infection, or may occur in association with meningitis, myelitis, radiculitis, or neuritis. Viral encephalitis is associated with neurological dysfunction. [from HPO]

Conditions with this feature

Encephalitis, acute, infection (viral)-induced, susceptibility to, 11
MedGen UID:
1794151
Concept ID:
C5561941
Finding
Susceptibility to acute infection (viral)-induced encephalitis-11 (IIAE11) is an autosomal recessive disorder characterized by increased susceptibility to viral encephalitis with neurotropic viruses, such as herpes simplex virus-1 (HSV-1), influenza B virus (IBV), or norovirus (NV), beginning in the first decade of life. The brainstem is specifically affected, suggesting a defect in tissue-specific and cell-intrinsic immunity. The disease is often fatal (summary by Zhang et al., 2018). For a discussion of genetic heterogeneity of susceptibility to acute infection (viral)-induced encephalitis or encephalopathy, see 610551.

Professional guidelines

PubMed

Aksamit AJ Jr
Neurol Clin 2021 Feb;39(1):197-207. Epub 2020 Nov 7 doi: 10.1016/j.ncl.2020.09.011. PMID: 33223083
Costa BKD, Sato DK
J Pediatr (Rio J) 2020 Mar-Apr;96 Suppl 1(Suppl 1):12-19. Epub 2019 Sep 9 doi: 10.1016/j.jped.2019.07.006. PMID: 31513761Free PMC Article
Aneja S, Sharma S
Indian J Pediatr 2019 Jan;86(1):70-75. Epub 2018 Sep 19 doi: 10.1007/s12098-018-2775-0. PMID: 30232787

Recent clinical studies

Etiology

Vova JA, Howarth RA
Pediatr Clin North Am 2023 Jun;70(3):429-444. Epub 2023 Mar 21 doi: 10.1016/j.pcl.2023.01.007. PMID: 37121635
Yang Q, Wei B
J Neuroimmunol 2023 May 15;378:578089. Epub 2023 Apr 11 doi: 10.1016/j.jneuroim.2023.578089. PMID: 37094438
Abdelaziz OS, Waffa Z
Rev Med Virol 2020 Sep;30(5):e2118. Epub 2020 Jul 20 doi: 10.1002/rmv.2118. PMID: 32687681Free PMC Article
Maffini E, Festuccia M, Brunello L, Boccadoro M, Giaccone L, Bruno B
Biol Blood Marrow Transplant 2017 Mar;23(3):388-397. Epub 2016 Dec 27 doi: 10.1016/j.bbmt.2016.12.632. PMID: 28039081
Zhang SY, Abel L, Casanova JL
Handb Clin Neurol 2013;112:1091-7. doi: 10.1016/B978-0-444-52910-7.00027-1. PMID: 23622315

Diagnosis

Vonberg FW, Dawson A, Scott G, Davies N
Pract Neurol 2023 Apr;23(2):157-159. Epub 2022 Dec 8 doi: 10.1136/pn-2022-003597. PMID: 36601749
Tyler KL
N Engl J Med 2018 Aug 9;379(6):557-566. doi: 10.1056/NEJMra1708714. PMID: 30089069
Pellett PE, Mitra S, Holland TC
Handb Clin Neurol 2014;123:45-66. doi: 10.1016/B978-0-444-53488-0.00002-X. PMID: 25015480Free PMC Article
Whitley RJ, Kimberlin DW
Pediatr Rev 1999 Jun;20(6):192-8. doi: 10.1542/pir.20-6-192. PMID: 10352040
Whitley RJ
N Engl J Med 1990 Jul 26;323(4):242-50. doi: 10.1056/NEJM199007263230406. PMID: 2195341

Therapy

Vonberg FW, Dawson A, Scott G, Davies N
Pract Neurol 2023 Apr;23(2):157-159. Epub 2022 Dec 8 doi: 10.1136/pn-2022-003597. PMID: 36601749
Giovane RA, Lavender PD
Prim Care 2018 Sep;45(3):505-518. Epub 2018 Jul 9 doi: 10.1016/j.pop.2018.05.007. PMID: 30115337
Tyler KL
N Engl J Med 2018 Aug 9;379(6):557-566. doi: 10.1056/NEJMra1708714. PMID: 30089069
Rubin S, Eckhaus M, Rennick LJ, Bamford CG, Duprex WP
J Pathol 2015 Jan;235(2):242-52. doi: 10.1002/path.4445. PMID: 25229387Free PMC Article
Jackson AC
Biomedica 2009 Jun;29(2):169-76. PMID: 20128341

Prognosis

Guasp M, Dalmau J
Med Clin (Barc) 2018 Jul 23;151(2):71-79. Epub 2017 Nov 26 doi: 10.1016/j.medcli.2017.10.015. PMID: 29183618
Maffini E, Festuccia M, Brunello L, Boccadoro M, Giaccone L, Bruno B
Biol Blood Marrow Transplant 2017 Mar;23(3):388-397. Epub 2016 Dec 27 doi: 10.1016/j.bbmt.2016.12.632. PMID: 28039081
Mohite A, Prasad V, Rajam L, Madhusudana SN
Indian Pediatr 2007 Sep;44(9):702-4. PMID: 17921563
Tiroumourougane SV, Raghava P, Srinivasan S
Postgrad Med J 2002 Apr;78(918):205-15. doi: 10.1136/pmj.78.918.205. PMID: 11930023Free PMC Article
Smith H
Br Med J (Clin Res Ed) 1981 Oct 10;283(6297):935-6. doi: 10.1136/bmj.283.6297.935. PMID: 6793180Free PMC Article

Clinical prediction guides

Rybak-Wolf A, Wyler E, Pentimalli TM, Legnini I, Oliveras Martinez A, Glažar P, Loewa A, Kim SJ, Kaufer BB, Woehler A, Landthaler M, Rajewsky N
Nat Microbiol 2023 Jul;8(7):1252-1266. Epub 2023 Jun 22 doi: 10.1038/s41564-023-01405-y. PMID: 37349587Free PMC Article
Xu XQ, Xu T, Ji W, Wang C, Ren Y, Xiong X, Zhou X, Lin SH, Xu Y, Qiu Y
mBio 2023 Feb 28;14(1):e0237022. Epub 2022 Dec 12 doi: 10.1128/mbio.02370-22. PMID: 36507835Free PMC Article
Berger JR
J Neurovirol 2020 Apr;26(2):143-148. Epub 2020 May 23 doi: 10.1007/s13365-020-00840-5. PMID: 32447630Free PMC Article
Guasp M, Dalmau J
Med Clin (Barc) 2018 Jul 23;151(2):71-79. Epub 2017 Nov 26 doi: 10.1016/j.medcli.2017.10.015. PMID: 29183618
Rubin S, Eckhaus M, Rennick LJ, Bamford CG, Duprex WP
J Pathol 2015 Jan;235(2):242-52. doi: 10.1002/path.4445. PMID: 25229387Free PMC Article

Recent systematic reviews

Miazga W, Wnuk K, Tatara T, Świtalski J, Matera A, Religioni U, Gujski M
BMC Infect Dis 2023 Sep 21;23(1):621. doi: 10.1186/s12879-023-08562-9. PMID: 37735357Free PMC Article
Hodzic E, Hasbun R, Granillo A, Tröscher AR, Wagner H, von Oertzen TJ, Wagner JN
J Neurol 2023 Jul;270(7):3603-3615. Epub 2023 Apr 15 doi: 10.1007/s00415-023-11715-0. PMID: 37060361Free PMC Article
Abbas A, Qiu F, Sikyta A, Fey PD, Florescu DF
Transpl Infect Dis 2022 Dec;24(6):e13929. Epub 2022 Aug 30 doi: 10.1111/tid.13929. PMID: 35980220Free PMC Article
Wagner JN, Leibetseder A, Troescher A, Panholzer J, von Oertzen TJ
J Neurol 2022 Feb;269(2):712-724. Epub 2021 Mar 6 doi: 10.1007/s00415-021-10494-w. PMID: 33675421Free PMC Article
Guo C, Zhou Z, Wen Z, Liu Y, Zeng C, Xiao D, Ou M, Han Y, Huang S, Liu D, Ye X, Zou X, Wu J, Wang H, Zeng EY, Jing C, Yang G
Front Cell Infect Microbiol 2017;7:317. Epub 2017 Jul 12 doi: 10.3389/fcimb.2017.00317. PMID: 28748176Free PMC Article

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