García-Tamayo J
Instituto Anatomopatológico, Facultad de Medicina, Universidad Central de Venezuela, Caracas.
Invest Clin. 1992;33(2):81-6.
Clinical findings on Venezuelan Equine Encephalitis virus infection and the teratogenic effects of several Togaviruses are described. Similarities between the intrauterine alterations induced by Venezuelan Equine Encephalitis virus and rubella virus are pointed out. Findings described by Wenger in 1967 were those of massive cerebral necrosis in fetuses of women presumably suffering of encephalitis and they are commented along with the development of an animal experimental model at the end of 1970-1980. Pathogenesis of the intrauterine infection seemed to be related to changes in the placental vessels, vascular changes in the central nervous system were also described in rats surviving Venezuelan Equine Encephalitis experimental infection; similar changes were described in the brain of children with post rubella syndrome. The need for multidisciplinary studies in the endemic areas of Venezuelan Equine Encephalitis in order to detect sequelae of the viral effects in utero is emphasized. Finally, some experimental animal models are proposed to examine diverse aspects on intrauterine effect of Venezuelan Equine Encephalitis virus.
本文描述了委内瑞拉马脑炎病毒感染的临床发现以及几种披膜病毒的致畸作用。指出了委内瑞拉马脑炎病毒和风疹病毒引起的子宫内改变之间的相似性。温格在1967年描述的发现是,推测患有脑炎的女性胎儿出现大量脑坏死,并且在20世纪70年代末至80年代末动物实验模型的发展过程中对这些发现进行了评论。子宫内感染的发病机制似乎与胎盘血管的变化有关,在委内瑞拉马脑炎实验感染存活的大鼠中也描述了中枢神经系统的血管变化;风疹后综合征患儿的大脑中也有类似变化。强调在委内瑞拉马脑炎流行地区需要进行多学科研究,以检测子宫内病毒效应的后遗症。最后,提出了一些实验动物模型,以研究委内瑞拉马脑炎病毒子宫内效应的不同方面。