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Japanese encephalitis

 

 

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Sliding Table of Contents on the left of the screen

 

Tables and Figure

Figure 1 : Global distribution pattern of Japanese encephalitis. The areas shaded in yellow are Japanese encephalitis risk-prone regions. The areas encircled in red, such as Karachi (Pakistan) and Torres Strait islands (Australia) and parts of the northern Australian mainland are newer areas affected by Japanese encephalitis.

Figure 2: Japanese Encephalitis Virus

Figure 3: A schematic representation of the Japanese encephalitis virus genome. The genome is a single-stranded, plus-sense RNA molecule containing a long open reading frame (ORF) encoding the viral polyprotein with 5’ and 3’ untranslated regions (UTRs). The encoded proteins subsequently self-assemble into complete Japanese encephalitis virus particles. See text for a detailed discussion of the structural and non-structural proteins encoded by the Japanese encephalitis virus genome.

Figure 4 : Opisthotonus in a boy with JE (Photo: Courtesy Dr. P. Nagabhushana Rao)

Figure 5 : Dystonia in the right hand of a boy with JE (Photo: Courtesy Dr. P. Nagabhushana)

Figure 6:  Left hemiparesis in a child with JE (Photo: Courtesy Dr. P. Nagabhushana Rao)

Figure 7:  Right gaze palsy in a child with JE (Photo: Courtesy Dr. P. Nagabhushana Rao)

Figure 8: (A) CT scan showing thalamic hypodensity; (B) MRI scan showing hyperintense thalami (Photos: Courtesy Dr. P. Nagabhushana Rao)

Figure 9: (A) MRI T2WI of a JE patient showing bilateral thalamic hyperintensity; (B) SPECT showing thalamic and left frontal hypoperfusion in a child with JE who had mouth open dystonia (Photos: Courtesy of Dr. U.K. Misra)

Figure 10: Bed sore on the head of a JE patient (Photo: Courtesy Dr. P. Nagabhushana Rao)

Table 1:  Japanese Encephalitis : An Historical Timeline

Table 2: Major Human Flaviviruses and Their Endemic Areas

Table 3: Japanese Encephalitis – Facts & Figures

Table 4: JE-Related Statistics from Major JE-Endemic Countries

Table 5: Vaccines Against Japanese Encephalitis

Box 1: Diagnostic Tests for Japanese Encephalitis

 

Vignettes

Erlanger TE, et al. Past, Present and Future of Japanese Encephalitis.  Emerging Infectious Diseases 2009;15(1):1-7.

Ooi MH, Lewthwaite P, et al. The Epidemiology, Clinical Features, and Long-Term Prognosis of Japanese Encephalitis in Central Sarawak, Malaysia, 1997-2005. Clin Infect Dis. 2008 Aug 15;47:458-68.

Specter M.  The Mosquito Solution. Can genetic modification eliminate a deadly tropical disease?  The New Yorker July 9 & 16, 2012.

Guidelines:  ACIP: Japanese Encephalitis Vaccines.  MMWR, March 2010.

 

Authors

  Kaushik Bharati, Ph.D.  

 

 

 

 

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