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.