9,072 results match your criteria: "Meningitis Viral"

The Arenaviridae family of segmented RNA viruses contains nearly 70 species with several associated with fatal haemorrhagic fevers, including Lassa, Lujo and Junin viruses. Lymphocytic choriomeningitis arenavirus (LCMV) is associated with fatal neurologic disease in humans and additionally represents a tractable model for studying arenavirus biology. Within cultured cells, a high proportion of LCMV spread is between directly neighbouring cells, suggesting infectivity may pass through intercellular connections, bypassing the canonical extracellular route involving egress from the plasma membrane.

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Presents an overview of domestic and foreign sources on the diagnosis of neuroinfections in children of different etiologies based on epidemiological, physical, cerebrospinal fluid, etiological, radiation and other methods. Their combination makes it possible to establish the syndrome of neuroinfection (meningitis, encephalitis, myelitis, polyradioloneuritis, etc.), the severity, the presence of complications, the nature of the course, etiology.

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Background: Magnetic resonance imaging (MRI) may be useful in detecting labyrinthitis and thereby predicting the development of sensorineural hearing loss (SNHL) in adults with central nervous system (CNS) infections. We therefore investigated the coherence between brain MRI and SNHL among adults with CNS infections.

Methods: Twenty-eight patients with bacterial or viral meningitis, viral encephalitis, or Lyme neuroborreliosis, who had a brain MRI during the acute disease and pure-tone audiometry at follow-up, were included.

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Infections in sickle cell disease.

Haematologica

November 2024

Department of Haematological Medicine, King's College Hospital NHS Foundation Trust, London, UK; Red Cell Haematology, Comprehensive Cancer Centre, School of Cancer and Pharmaceutical Sciences, King's College London, London.

Sickle cell disease (SCD) is one of the commonest severe inherited disorders in the world. Infection accounts for a significant amount of the morbidity and mortality, particularly in sub- Saharan Africa, but is relatively poorly studied and characterized. Patients with SCD have significant immunodeficiency and are more likely to suffer severe and life-threatening complications of infection, and additionally infections can trigger complications of SCD itself.

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Oropouche Virus: An Emerging Neuroinvasive Arbovirus.

Ann Neurol

November 2024

Neuroinfectious Diseases Group, Department of Neurology, and Department of Medicine and Immunology-Microbiology, University of Colorado School of Medicine, Aurora, CO.

Article Synopsis
  • - Oropouche virus (OROV) is an emerging arbovirus found in parts of South and Central America, the Caribbean, and is now being reported in Cuba, the US, and Europe, primarily transmitted between certain animals and mosquitoes to humans.
  • - It causes flu-like symptoms in about 60% of infections, can have a biphasic course leading to symptom recurrence, and poses risks of vertical transmission that might affect pregnancies and fetal development.
  • - Diagnosis involves detecting the virus or antibodies in blood or cerebrospinal fluid, with no antiviral treatments or vaccines currently available, making mosquito bite prevention essential for control.
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Genital Herpes: Rapid Evidence Review.

Am Fam Physician

November 2024

Eglin Air Force Base Family Medicine Residency Program in Florida.

Article Synopsis
  • - Genital herpes, caused by herpes simplex virus (HSV) types 1 or 2, is a lifelong sexually transmitted infection affecting over 500 million people globally, with no available vaccines for prevention.
  • - It is characterized by painful genital lesions and flu-like symptoms; diagnosis is typically made through laboratory tests like PCR or viral culture.
  • - Treatment includes antiviral medications to manage outbreaks and reduce transmission, and pregnant individuals with a history of genital herpes are advised to start antiviral therapy at 36 weeks and may require a cesarean section if lesions are present.
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Coxsackievirus B2 (CVB2) is a member of the enterovirus group known to induce a spectrum of illnesses, from mild to severe. In the summer of 2022, an unusual outbreak of enteroviral central nervous system (CNS) infections occurred that was attributed to CVB2. Cerebrospinal fluid (CSF) samples collected from patients in 2015-2022 were tested for enterovirus via RT-PCR, followed by Sanger sequencing for positive cases.

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Article Synopsis
  • * A 16-year-old girl with Hodgkin's lymphoma developed a vesicular rash after completing chemotherapy, which was identified as a disseminated rash caused by the Oka vaccine-strain varicella-zoster virus, 11 years after her last vaccination.
  • * This case emphasizes the importance of understanding potential complications of immunizations, particularly in patients who become immunocompromised later in life, and highlights the necessity of viral genotyping to differentiate vaccine strains from wild-type infections.*
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LTT-Validity in diagnosis and therapeutical decision making of neuroborreliosis: a prospective dual-centre study.

Infection

November 2024

Department of Neurology, HELIOS Klinikum München-West, Steinerweg 5, 81241, München, Germany.

Objectives: The key objective of this study was to assess the validity of a commercially available in-house Lymphocyte Transformation Test (LTT) as a diagnostic parameter and indicator of disease activity/therapeutic efficacy in the context of Lyme neuroborreliosis (LNB).

Methods: A prospective dual-centre study was conducted from 05/14 - 01/18. With respect to Borrelia-LTT a comparison was made between patients suffering from confirmed acute LNB and patients being affected by inflammatory neurologic diseases, defining the control group: Bell's palsy, viral meningitis, herpes zoster, Guillain-Barré-Syndrome and Encephalomyelitis disseminate.

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CD8 T cell exhaustion hampers control of cancer and chronic infections and limits chimeric antigen receptor (CAR) T cell efficacy. Targeting in CAR T cells provides therapeutic benefit; however, TET2's role in exhausted T cell (T) development is unclear. In chronic lymphocytic choriomeningitis virus (LCMV) infection, TET2 drove conversion from stem cell-like T progenitors toward terminally differentiated and effector (T)-like T.

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Article Synopsis
  • * Antiviral therapies are the main treatment options for HSV-1, and promising vaccine developments include live attenuated, protein subunit, and nucleic acid vaccines that aim to prevent infections.
  • * The virus can also be modified for therapeutic uses, such as in gene therapy and cancer immunotherapy, making it a versatile subject for research and medical applications.
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Attention-Deficit Hyperactive Disorder (ADHD) is a neurobehavioral syndrome affecting children aged 6-17 with symptoms manifesting before age 12. ADHD presents heterogeneously and is associated with various psychiatric disorders. The cause remains elusive, but genetic and environmental factors, brain region maturation delays, and neurotransmitter dysregulation are implicated.

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Clinical manifestations and outcomes of Tick-borne encephalitis: A systematic literature review.

Ticks Tick Borne Dis

November 2024

Department of Neurology, Landesklinikum Mistelbach-Gänserndorf, Mistelbach, Austria.

Tick-borne encephalitis (TBE) is caused by a viral infection and can lead to acute and persistent damage to the central and peripheral nervous systems. Recently, the incidence of TBE in Europe has risen, and epidemiological patterns of disease have changed, emphasising the need for improved understanding of this vaccine-preventable disease. Although TBE is endemic in many countries, the disease spectrum of TBE is not well described.

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Organic brain disorders are often camouflaged by psychiatric manifestations. Management of such 'pseudo-psychiatric' illnesses can be complicated due to the disruptive behaviour of the patients and/or lack of appropriate response to treatment. In this case series, we present three cases, each of which was initially diagnosed as a psychiatric illness but was later found to have an underlying neurological disorder.

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Bacterial and viral infections cause a huge burden to healthcare settings worldwide, and mortality rates associated with infectious microorganisms have remained high in recent decades. Despite tremendous efforts and resources worldwide to explore diagnostic biomarkers, rapid and easily assayed indicators for the diagnosis of bacterial and viral infections remain a challenge. B7 homolog 3 (B7-H3), a member of the B7 family of immunoregulatory proteins, is overexpressed in patients with septicemia, meningitis, pneumonia, and hepatitis.

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ISG15, an IFN-stimulated gene, plays a crucial role in modulating immune responses during viral infections. Its upregulation is part of the host's defense mechanism against viruses, contributing to the antiviral state of cells. However, altered ISG15 expression can also lead to immune dysregulation and pathological outcomes, particularly during persistent viral infections.

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MitoTempo treatment as an approach to cure persistent viral infections?

Virology

December 2024

Department of Gastroenterology, Hepatology, Infectious Diseases and Endocrinology, Hannover Medical School, Hannover, Germany; Twincore, Centre for Experimental and Clinical Infection Research, a joint venture between the Helmholtz Centre for Infection Research (HZI) and the Hannover Medical School, Hannover, Germany; German Center for Infection Research (DZIF), Partner-site Hannover-Braunschweig, Hannover, Germany; Centre for Individualised Infection Medicine (CiiM), a joint venture between the Helmholtz Centre for Infection Research (HZI) and Hannover Medical School (MHH), Hannover, Germany. Electronic address:

Chronic viral infections are characterized by exhausted virus-specific T cells. Exhaustion is associated with mitochondrial dysfunction, revealing a possible target for treatment. Targeting these metabolic processes may interfere with the exhaustion process of immune cells during infection.

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We report the genomic analysis from early equine cases of the Western equine encephalitis virus outbreak during 2023-2024 in Uruguay. Sequences are related to a viral isolate from an outbreak in 1958 in Argentina. A viral origin from South America or continuous enzootic circulation with infrequent spillover is possible.

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Clinical Significance of Lumbar Puncture in Children with First Febrile Seizures.

Iran J Child Neurol

September 2024

Department of Pediatrics, College of Medicine, Kyung Hee University, Seoul, Korea.

Objectives: To evaluate the need for lumbar puncture (LP) in children aged 6 to 60 months experiencing their first febrile seizure, regardless of seizure type, and to determine if LP is particularly beneficial for those under 12 months old.

Materials & Methods: In this retrospective study, data from 253 children who presented with first febrile seizure were analyzed. All patients in this study underwent LP and were divided into two groups based on their cerebrospinal fluid (CSF) results: non-pleocytosis and pleocytosis.

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Article Synopsis
  • The study focused on diagnosing Acute Flaccid Paralysis (AFP) in children referred to a pediatric emergency unit between 2011 and 2016.
  • The most common diagnoses were Guillain-Barré Syndrome (80 cases), acute viral myositis (20 cases), Transverse Myelitis Syndrome (6 cases), and Vaccine-Associated Paralytic Poliomyelitis (6 cases), with all patients testing negative for poliovirus.
  • A unique case of a 2.5-month-old patient presented with symptoms compatible with viral meningitis, highlighting the importance of considering a range of diagnoses when evaluating AFP in children.
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Background: The gold standard for diagnosis of meningitis is the isolation of a pathogen from cerebrospinal fluid (CSF) by culture or PCR. However, treatment is routinely commenced based on CSF findings prior to microbiological results. This study determined the predictive value of CSF parameters for diagnosing bacterial and viral meningitis in young infants.

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Article Synopsis
  • - A man in his mid-20s was exposed to lymphocytic choriomeningitis virus (LCMV) through ocular contact while working, leading to a clinical follow-up to monitor his health.
  • - Seven days after exposure, he experienced flu-like symptoms, but tests for LCMV in his blood were negative during this acute phase, and he received symptomatic treatment that resolved the symptoms soon after.
  • - After 6 weeks, serological testing showed he had recently been infected with LCMV, highlighting the importance of monitoring such exposures and prompting a review of safety protocols in the workplace.
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Escherichia coli (E. coli) is a leading cause of human infections worldwide and is considered a major cause of nosocomial infections, sepsis, meningitis and diarrhea. Lately, there has been an alarming increase in the incidence of antimicrobial resistance among clinical E.

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The recent outbreaks of neurotropic West Nile Virus (WNV) in humans are of grave public health concern, requiring a thorough understanding of the host immune response to develop effective therapeutic interventions. Innate immunity contributes to the primary immune response against WNV infection aimed at controlling and eliminating the virus from the body. As soon as WNV infects the body, pattern recognition receptors (PRRs) recognize viral pathogen-associated molecular patterns, particularly viral RNA, and initiate innate immune responses.

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Article Synopsis
  • The study investigates the inflammatory response of the central nervous system (CNS) to traumatic brain injury (TBI) using mass-spectrometry, comparing it to other CNS injuries and healthy controls.
  • A total of 56 patients' cerebrospinal fluid (CSF) was analyzed, revealing significant differences in protein concentrations, with 55 proteins differing between TBI and noninfectious CNS disorders and 51 proteins differing between TBI and healthy controls.
  • Notably, two proteins were uniquely identified in all TBI samples, and the study emphasizes the complexity of the inflammatory responses in various CNS conditions.
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