Chapter 20_AFernando_part 2

Page 1: Introduction to Viral Diseases of the Nervous System

Overview of Viruses in Neurological Diseases

  • Viruses are much smaller than bacteria and fungi, allowing them to cross the blood-brain barrier more easily.

  • They can cause various diseases affecting the brain and meninges.

  • Examples include polio and rabies.

Key Characteristics of Viral Infections

  • The genus involved in viral meningitis is enterovirus.

  • It damages cells in the meninges, causing infection.

  • Transmission occurs through respiratory droplets or feces.

  • Diagnosis is via characteristic symptoms and absence of bacteria/viruses in cerebrospinal fluid.

Page 2: Polio and its Impacts

Overview of Polio (Poliomyelitis)

  • Polio is a viral disease affecting the motor system.

  • Symptoms include muscle spasms, back pain, and potential paralysis (partial or complete).

  • Transmission primarily occurs through contaminated water.

  • Polio virus can survive in water.

Vaccination and Prevention

  • Effective vaccines against polio are available.

Page 3: Rabies Virus and Its Transmission

Overview of Rabies

  • Rabies is a viral disease of the nervous system.

  • Transmission occurs through bites or scratches from infected animals (e.g., dogs, cats, skunks).

  • Negri bodies may be found in the brain tissues of deceased patients.

Disease Mechanism

  • The virus replicates in muscle cells, then spreads to neurons and the central nervous system.

  • Zoonotic disease: transmitted by animals to humans.

Vaccination and First Aid

  • Vaccines and immunoglobulins are available for rabies prevention.

  • Immediate first aid after exposure includes cleaning the wound with copious amounts of water.

Page 4: Arboviral Encephalitis

Overview of Arboviral Diseases

  • Arboviruses are transmitted via arthropods (primarily mosquitoes).

  • These infections can cause encephalitis in humans, characterized by mild flu-like symptoms.

Infection Cycle

  • The cycle of infection includes mosquitoes, birds, animals, and humans.

  • Small viral particles can breach the blood-brain barrier.

Page 5: Fungal Diseases of the Nervous System

Fungal Mycosis

  • Fungal diseases spread from lungs to the central nervous system via the blood.

  • Toxic mushrooms can produce neurological symptoms or hallucinations.

Fungal Meningitis

  • Fungal meningitis is a critical condition; examples include exposure to certain fungal toxins (e.g., mushroom toxins).

Page 6: Protozoan Infections

Common Protozoan Diseases

  • African sleeping sickness and meningoencephalitis are significant protozoan diseases affecting the nervous system.

Diagnosis

  • Tissue biopsy is required for identification of trypanosomes in infected individuals.

Page 7: Prion Diseases

Overview of Prion Diseases

  • Prions are misfolded proteins causing diseases like mad cow disease and Creutzfeldt-Jakob disease.

  • They lead to progressive neurological deterioration or pathological changes in the brain.

Transmission and Prevention

  • Human infection occurs through consumption of infected cattle.

  • Avoiding uncooked meat from infected sources is crucial; no effective treatment exists.

Page 8: Conclusion of Chapter 20

Summary

  • Chapter 20 covers various infectious agents affecting the nervous system, including viral, fungal, protozoan, and prion diseases.

  • Each category presents distinct mechanisms of infection, symptoms, and preventive measures.

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