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[治疗蚊媒黄病毒脑炎的前景]

[Prospects for treating mosquito-borne flavivirus encephalitides].

作者信息

Platonov A E, Karan' L S, Vengerov Iu Ia, Galimzianov Kh M

出版信息

Ter Arkh. 2009;81(11):68-73.

Abstract

The Japanese encephalitis virus and West Nile virus belong to the family Flaviviridae, genus Flavivirus; they have a similar transmission cycle, with birds serving as the natural vertebrate host and mosquitoes, primarily, Culex species, both serving as the enzootic vectors and infecting humans. These arboviruses have caused more human cases of severe neuroinvasive disease worldwide during the past decade than other mosquito-borne flaviviruses. The current data and concepts on the clinical manifestations, pathogenesis, diagnosis, and treatment of infections caused by West Nile virus and Japanese encephalitis virus, are considered. The need for developing innovative approaches to etiotropic therapy for West Nile fever and Japanese encephalitis is emphasized; these approaches should be based on the comprehensive insight and extensive studies of the pathogenesis of flaviviral infections.

摘要

日本脑炎病毒和西尼罗河病毒属于黄病毒科黄病毒属;它们具有相似的传播周期,鸟类作为天然脊椎动物宿主,而蚊子(主要是库蚊属物种)既是动物间传播媒介,也会感染人类。在过去十年中,与其他蚊媒黄病毒相比,这些虫媒病毒在全球范围内导致了更多人类严重神经侵袭性疾病病例。本文考虑了关于西尼罗河病毒和日本脑炎病毒感染的临床表现、发病机制、诊断和治疗的当前数据和概念。强调了开发针对西尼罗河热和日本脑炎的病因特异性治疗创新方法的必要性;这些方法应基于对黄病毒感染发病机制的全面洞察和广泛研究。

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