Tropical and Infectious Diseases, université Joseph-Fourier Grenoble 1, CHU de Grenoble, Grenoble, France.
Med Mal Infect. 2011 Sep;41(9):453-64. doi: 10.1016/j.medmal.2011.05.015. Epub 2011 Jul 29.
Encephalitis is an inflammation of the brain structures: neurons, vessels or glial cells. However, a consensual definition of the syndrome is difficult to obtain, and it is even more difficult to define encephalitis due a specific agent. Most viruses can be responsible for infectious encephalitis, but the number of encephalitis cases is very limited with regards of the incidence of benign infections from these pathogens. Viruses responsible for encephalitis can be animal-borne, vector-borne or human-to-human transmitted, they can infect preferentially immunocompetent or immunosuppressed patients, and some of them have demonstrated their epidemic potential. Herpes simplex encephalitis is recognized worldwide as the most frequent infectious encephalitis, and the only one with a validated specific treatment. Encephalitis following some viral infections such as measles or rabies can be prevented by vaccination. Unfortunately, effective treatment currently lacks for most encephalitic viral agents identified so far.
脑炎是脑结构(神经元、血管或神经胶质细胞)的炎症。然而,很难获得该综合征的共识定义,更难以确定特定病原体引起的脑炎。大多数病毒都可能导致感染性脑炎,但由于这些病原体引起的良性感染发生率很高,脑炎的病例数量非常有限。引起脑炎的病毒可能是动物源性、媒介传播或人与人传播的,它们可以优先感染免疫功能正常或免疫抑制的患者,其中一些病毒已显示出其流行潜力。单纯疱疹脑炎被公认为世界范围内最常见的感染性脑炎,也是唯一一种有有效特定治疗方法的脑炎。一些病毒性感染(如麻疹或狂犬病)后可通过疫苗接种预防脑炎。不幸的是,目前大多数已确定的脑炎病毒制剂都缺乏有效的治疗方法。