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.
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.
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.
Effective vaccines against polio are available.
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.
The virus replicates in muscle cells, then spreads to neurons and the central nervous system.
Zoonotic disease: transmitted by animals to humans.
Vaccines and immunoglobulins are available for rabies prevention.
Immediate first aid after exposure includes cleaning the wound with copious amounts of water.
Arboviruses are transmitted via arthropods (primarily mosquitoes).
These infections can cause encephalitis in humans, characterized by mild flu-like symptoms.
The cycle of infection includes mosquitoes, birds, animals, and humans.
Small viral particles can breach the blood-brain barrier.
Fungal diseases spread from lungs to the central nervous system via the blood.
Toxic mushrooms can produce neurological symptoms or hallucinations.
Fungal meningitis is a critical condition; examples include exposure to certain fungal toxins (e.g., mushroom toxins).
African sleeping sickness and meningoencephalitis are significant protozoan diseases affecting the nervous system.
Tissue biopsy is required for identification of trypanosomes in infected individuals.
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.
Human infection occurs through consumption of infected cattle.
Avoiding uncooked meat from infected sources is crucial; no effective treatment exists.
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.