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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
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
Solomon T, Michael BD, Smith PE, Sanderson F, Davies NW, Hart IJ, Holland M, Easton A, Buckley C, Kneen R, Beeching NJ; National Encephalitis Guidelines Development and Stakeholder Groups
J Infect 2012 Apr;64(4):347-73. Epub 2011 Nov 18 doi: 10.1016/j.jinf.2011.11.014. PMID: 22120595
Kennedy PG
J Neurol Neurosurg Psychiatry 2004 Mar;75 Suppl 1(Suppl 1):i10-5. doi: 10.1136/jnnp.2003.034280. PMID: 14978145Free PMC Article

Diagnosis

Siciliano V, Rosà T, Del Vecchio P, D'Angelillo A, Brigida M, Longhitano Y, Zanza C, Santoro MC, Candelli M, Franceschi F, Piccioni A
Rev Recent Clin Trials 2022;17(4):259-267. doi: 10.2174/1574887116666211118141117. PMID: 34792015
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
Wright WF, Pinto CN, Palisoc K, Baghli S
J Neurol Sci 2019 Mar 15;398:176-183. Epub 2019 Jan 31 doi: 10.1016/j.jns.2019.01.050. PMID: 30731305
Tyler KL
N Engl J Med 2018 Aug 9;379(6):557-566. doi: 10.1056/NEJMra1708714. PMID: 30089069
Whitley RJ, Kimberlin DW
Pediatr Rev 1999 Jun;20(6):192-8. doi: 10.1542/pir.20-6-192. PMID: 10352040

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
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
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
Solomon T, Michael BD, Smith PE, Sanderson F, Davies NW, Hart IJ, Holland M, Easton A, Buckley C, Kneen R, Beeching NJ; National Encephalitis Guidelines Development and Stakeholder Groups
J Infect 2012 Apr;64(4):347-73. Epub 2011 Nov 18 doi: 10.1016/j.jinf.2011.11.014. PMID: 22120595

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
Rasool V, Rasool S, Mushtaq S
Clin Pediatr (Phila) 2014 Feb;53(2):118-20. Epub 2013 Jun 4 doi: 10.1177/0009922813490229. PMID: 23737611
Solomon T, Michael BD, Smith PE, Sanderson F, Davies NW, Hart IJ, Holland M, Easton A, Buckley C, Kneen R, Beeching NJ; National Encephalitis Guidelines Development and Stakeholder Groups
J Infect 2012 Apr;64(4):347-73. Epub 2011 Nov 18 doi: 10.1016/j.jinf.2011.11.014. PMID: 22120595
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

Clinical prediction guides

Cleaver J, Jeffery K, Klenerman P, Lim M, Handunnetthi L, Irani SR, Handel A
Brain 2024 Apr 4;147(4):1130-1148. doi: 10.1093/brain/awad419. PMID: 38092513Free PMC Article
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
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

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
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
Wagner JN, Leibetseder A, Troescher A, Panholzer J, von Oertzen TJ
Int J Infect Dis 2021 Dec;113:93-102. Epub 2021 Oct 7 doi: 10.1016/j.ijid.2021.10.002. PMID: 34628025
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
Pandey S, Rathore C, Michael BD
Cochrane Database Syst Rev 2016 May 22;2016(5):CD010247. doi: 10.1002/14651858.CD010247.pub3. PMID: 27209627Free PMC Article

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