Human Encephalitis Caused by Pseudorabies Virus in China : A Case Report and Systematic Review

Background: Pseudorabies virus (PRV) is a common pathogen found in pigs. The pathogenicity of PRV in humans is under researched and there are few confirmed cases of PRV infections in humans, which has led to a lack of clinical consensus. Methods: We presented a case of viral encephalitis caused by PRV in China. We performed a systematic review of the literature to investigate the clinical features and prognosis of PRV encephalitis and included 12 patients with PRV encephalitis. Results: All the patients had a history of direct or indirect contact with living pigs or pork before the onset of the disease, accompanied by prodromal symptoms, such as fever and headache. They presented with a series of lesions involving the central nervous system (CNS) and respiratory system, such as acute encephalitis syndrome, respiratory failure, retinitis, or endophthalmitis. Conclusions: The differential diagnosis of an acute attack of CNS infection should include PRV encephalitis, which should be diagnosed by a head magnetic resonance imaging (MRI), fundus examination, and cerebrospinal fluid next-generation sequencing. Intravenous immunoglobulin, glucocorticoid, antiviral, and symptomatic support treatment should be administered as early as possible to improve the prognosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:22

Enthalten in:

Vector borne and zoonotic diseases (Larchmont, N.Y.) - 22(2022), 7 vom: 22. Juli, Seite 391-396

Sprache:

Englisch

Beteiligte Personen:

Hou, Yue [VerfasserIn]
Wang, YouMing [VerfasserIn]
Zhang, Yao [VerfasserIn]
Yu, HuiDan [VerfasserIn]
Zhao, Yan [VerfasserIn]
Yi, AiFen [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Encephalitis
Humans
Journal Article
Next-generation sequencing
Pseudorabies virus
Systematic Review

Anmerkungen:

Date Completed 18.07.2022

Date Revised 11.08.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/vbz.2022.0002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM342579134