Equine encephalitis, venezuelan A92.2

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

VEE; Venezuelan equine encephalitis

History
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Beck, 1938

Definition
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Arbovirosis, caused by alpha viruses, which can cause encephalitis in horses and humans

Pathogen
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  • Venezuelan equine encephalitis virus, genus Alphavirus, family Togaviridae. So far 6 subtypes are known. Type I (A/B, C, D, E) not pathogenic to humans.
  • Type II is human pathogenic and is transmitted by mosquitoes (Culex, Mansonia, Aedes and Psorophora species).
  • The main reservoir is birds and rodents and other wildlife.

Occurrence/Epidemiology
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  • Endemic-enzootic and epidemic-epizootic occurrence. Occurs in northern South America, Central America to southern Texas.
  • Human infections follow an epizootic at intervals of 1-2 weeks.

Clinical features
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Snapperent infections are possible (high seroconversion rates in biotopes). Sudden onset of fever, headache, dizziness, nausea, vomiting, neuro-psychological disorders and myalgias. Encephalitis occurs in about 1% of those affected. Virus exanthema rarely occurs.

Diagnosis
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  • Virus isolation from the blood within the first 2 days of illness.
  • Antigen ELISA test from the infected cell culture.

Differential diagnosis
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Viral and bacterial encephalitis of other genesis.

Complication(s)
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Neurological defect healing is possible.

Therapy
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Symptomatic.

Progression/forecast
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Mortality in horses up to 80%, death usually occurs within 2-7 days. In humans, fatal outcome in about 1% of cases. The mortality rate of hospitalized patients is 10-15%. Defect healings are rare.

Prophylaxis
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  • Vaccinations of horses, donkeys and mules (bar vaccinations).
  • TC-83 virus dead vaccine is immunogenic for humans.
  • Mosquito control.

Literature
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  1. Albornoz JE (1935) La peste loca de las bestias (Enfermedad de Borna). Colombia. Min Agr Com, Bogota. Bol de Agr 26: 1-8
  2. Beck CE, Wyckoff RWG (1938) Venezuelan equine encephalomyelitis. Science 88: 530

Outgoing links (1)

Virus exanthema (overview);

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

Authors

Last updated on: 29.10.2020