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化圆为方:导致神经感染性疾病的病毒病原体多样性。

Square the Circle: Diversity of Viral Pathogens Causing Neuro-Infectious Diseases.

机构信息

Federal State Budgetary Institution "Centre for Strategic Planning and Management of Biomedical Health Risks" of the Federal Medical Biological Agency, 119121 Moscow, Russia.

G. Speransky Children's Hospital No. 9, 123317 Moscow, Russia.

出版信息

Viruses. 2024 May 15;16(5):787. doi: 10.3390/v16050787.

Abstract

Neuroinfections rank among the top ten leading causes of child mortality globally, even in high-income countries. The crucial determinants for successful treatment lie in the timing and swiftness of diagnosis. Although viruses constitute the majority of infectious neuropathologies, diagnosing and treating viral neuroinfections remains challenging. Despite technological advancements, the etiology of the disease remains undetermined in over half of cases. The identification of the pathogen becomes more difficult when the infection is caused by atypical pathogens or multiple pathogens simultaneously. Furthermore, the modern surge in global passenger traffic has led to an increase in cases of infections caused by pathogens not endemic to local areas. This review aims to systematize and summarize information on neuroinvasive viral pathogens, encompassing their geographic distribution and transmission routes. Emphasis is placed on rare pathogens and cases involving atypical pathogens, aiming to offer a comprehensive and structured catalog of viral agents with neurovirulence potential.

摘要

神经感染病在全球儿童死亡的十大主要病因中位列前茅,甚至在高收入国家也是如此。成功治疗的关键决定因素在于诊断的及时性和速度。虽然病毒是大多数传染性神经病理学的主要病原体,但诊断和治疗病毒性神经感染病仍然具有挑战性。尽管技术有所进步,但仍有超过一半的病例病因未明。当感染由非典型病原体或多种病原体同时引起时,病原体的鉴定就变得更加困难。此外,全球客运量的现代激增导致了由非本地病原体引起的感染病例的增加。本综述旨在系统地总结和概括神经侵袭性病毒病原体的信息,包括其地理分布和传播途径。重点介绍罕见病原体和涉及非典型病原体的病例,旨在提供一个全面和结构化的具有神经毒性潜力的病毒制剂目录。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cde2/11126052/6b1ea47c204f/viruses-16-00787-g001.jpg

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