- Lyle R Petersen, MD, MPH
Lyle R Petersen, MD, MPH
- Division of Vector-borne Infectious Diseases
- Centers for Disease Control and Prevention
Arthropod-borne encephalitis viruses represent a significant public health problem throughout most of the world. These viruses, which belong to the families Flaviviridae, Togaviridae, Bunyaviridae, and Reoviridae, are usually highly adapted to particular reservoir hosts and are spread from animal to animal via the bite of an infected arthropod, usually a specific mosquito or tick species (table 1).
This topic will review the major characteristics of most of the arthropod-borne viral encephalitides. General issues related to viral encephalitis, including clinical manifestations, cerebrospinal fluid findings, distinction from postinfectious encephalitis and meningitis, and an approach to the patients with suspected central nervous system infection are discussed separately. (See "Viral encephalitis in adults".)
The mosquito or tick becomes infected when feeding on the blood of the viremic animal. The virus then replicates in the mosquito or tick tissues, ultimately infecting the salivary glands. The mosquito or tick transmits the virus to a new host when it injects infective salivary fluid while taking a blood meal.
The natural animal hosts of these viruses usually remain unaffected and viral circulation generally remains undetected until one of the following occurs:
●Humans encroach on the natural enzootic focusTo continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
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- TRANSMISSION CYCLE
- GEOGRAPHIC DISTRIBUTION
- WEST NILE, ST. LOUIS, AND DENGUE
- EASTERN EQUINE ENCEPHALITIS VIRUS
- Clinical manifestations
- Treatment and prevention
- WESTERN EQUINE ENCEPHALITIS VIRUS
- JAPANESE ENCEPHALITIS VIRUS
- LA CROSSE ENCEPHALITIS VIRUS
- MURRAY VALLEY ENCEPHALITIS
- VENEZUELAN EQUINE ENCEPHALITIS VIRUS
- TICK-BORNE ENCEPHALITIS VIRUS
- Clinical manifestations
- Treatment and prevention
- POWASSAN VIRUS
- COLORADO TICK FEVER VIRUS
- CHANDIPURA VIRUS
- TOSCANA VIRUS
- SOCIETY GUIDELINE LINKS
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS