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Infections of the central nervous system of suspected viral origin: A collaborative study from Finland
We studied 3231 patients with acute central nervous system (CNS) symptoms of suspected viral origin to elucidate the current etiologic spectrum. In 46%of the cases, a viral finding was observed. Varicella-zoster virus (VZV) was the main agent associated with encephalitis, as well as meningitis and m...
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| Published in: | Journal of neurovirology 2001-10, Vol.7 (5), p.400-408 |
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| creator | Koskiniemi, Marjaleena Rantalaiho, Timo Piiparinen, Heli von Bonsdorff, Carl-Henrik Färkkilä, Markus Järvinen, Asko Kinnunen, Esko Koskiniemi, Suvi Mannonen, Laura Muttilainen, Marketta Linnavuori, Kimmo Porras, Jukka Puolakkainen, Mirja Räihä, Kirsti Salonen, Eeva-Marjatta Ukkonen, Pentti Vaheri, Antti Valtonen, Villei |
| description | We studied 3231 patients with acute central nervous system (CNS) symptoms of suspected viral origin to elucidate the current etiologic spectrum. In 46%of the cases, a viral finding was observed. Varicella-zoster virus (VZV) was the main agent associated with encephalitis, as well as meningitis and myelitis. VZV comprised 29% of all confirmed or probable etiologic agents. Herpes simplex virus (HSV) and enteroviruses accounted 11% each, and influenza A virus 7%. VZV seems to have achieved a major role in viral infections of CNS. In encephalitis in our population, VZV is clearly more commonly associated with these neurological diseases than HSV. The increase in VZV findings may in part be a pseudophenomenon due to improved diagnostic methods, however, a true increase may have occurred and the pathogenetic mechanisms behind this should be elucidated. |
| doi_str_mv | 10.1080/135502801753170255 |
| format | article |
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In 46%of the cases, a viral finding was observed. Varicella-zoster virus (VZV) was the main agent associated with encephalitis, as well as meningitis and myelitis. VZV comprised 29% of all confirmed or probable etiologic agents. Herpes simplex virus (HSV) and enteroviruses accounted 11% each, and influenza A virus 7%. VZV seems to have achieved a major role in viral infections of CNS. In encephalitis in our population, VZV is clearly more commonly associated with these neurological diseases than HSV. The increase in VZV findings may in part be a pseudophenomenon due to improved diagnostic methods, however, a true increase may have occurred and the pathogenetic mechanisms behind this should be elucidated.</description><identifier>ISSN: 1355-0284</identifier><identifier>EISSN: 1538-2443</identifier><identifier>DOI: 10.1080/135502801753170255</identifier><identifier>PMID: 11582512</identifier><language>eng</language><publisher>United States: Informa UK Ltd</publisher><subject>Adenoviridae Infections - epidemiology ; Adenoviridae Infections - virology ; Adolescent ; Adult ; Age Distribution ; Aged ; Child ; Child, Preschool ; Chlamydia Infections - epidemiology ; Chlamydophila pneumoniae ; Encephalitis - epidemiology ; Encephalitis - microbiology ; Encephalitis, Herpes Simplex - diagnosis ; Encephalitis, Herpes Simplex - epidemiology ; Encephalitis, Tick-Borne - epidemiology ; Encephalitis, Tick-Borne - virology ; Encephalitis, Varicella Zoster - diagnosis ; Encephalitis, Viral - diagnosis ; Encephalitis, Viral - epidemiology ; Encephalitis, Viral - virology ; Enterovirus ; Enterovirus Infections - diagnosis ; Enterovirus Infections - epidemiology ; Female ; Finland - epidemiology ; Herpes simplex virus 1 ; Herpesviridae Infections - diagnosis ; Herpesviridae Infections - epidemiology ; Humans ; Immunoenzyme Techniques ; Incidence ; Infant ; Infant, Newborn ; Influenza A virus ; Male ; Meningitis - diagnosis ; Meningitis - epidemiology ; Meningitis - virology ; Middle Aged ; Myelitis - diagnosis ; Myelitis - epidemiology ; Myelitis - virology ; Polymerase Chain Reaction ; Puumala virus - isolation & purification ; Retrospective Studies ; Rotavirus Infections - epidemiology ; Rotavirus Infections - virology ; Seroepidemiologic Studies ; Vaccination ; Varicella-zoster virus 1 ; Viral Vaccines</subject><ispartof>Journal of neurovirology, 2001-10, Vol.7 (5), p.400-408</ispartof><rights>2001 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c385t-c5516788c2b236892e74bf7511615037c7bfcb31b3aad97571817ae88f41903d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11582512$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Koskiniemi, Marjaleena</creatorcontrib><creatorcontrib>Rantalaiho, Timo</creatorcontrib><creatorcontrib>Piiparinen, Heli</creatorcontrib><creatorcontrib>von Bonsdorff, Carl-Henrik</creatorcontrib><creatorcontrib>Färkkilä, Markus</creatorcontrib><creatorcontrib>Järvinen, Asko</creatorcontrib><creatorcontrib>Kinnunen, Esko</creatorcontrib><creatorcontrib>Koskiniemi, Suvi</creatorcontrib><creatorcontrib>Mannonen, Laura</creatorcontrib><creatorcontrib>Muttilainen, Marketta</creatorcontrib><creatorcontrib>Linnavuori, Kimmo</creatorcontrib><creatorcontrib>Porras, Jukka</creatorcontrib><creatorcontrib>Puolakkainen, Mirja</creatorcontrib><creatorcontrib>Räihä, Kirsti</creatorcontrib><creatorcontrib>Salonen, Eeva-Marjatta</creatorcontrib><creatorcontrib>Ukkonen, Pentti</creatorcontrib><creatorcontrib>Vaheri, Antti</creatorcontrib><creatorcontrib>Valtonen, Villei</creatorcontrib><creatorcontrib>Study Group</creatorcontrib><title>Infections of the central nervous system of suspected viral origin: A collaborative study from Finland</title><title>Journal of neurovirology</title><addtitle>J Neurovirol</addtitle><description>We studied 3231 patients with acute central nervous system (CNS) symptoms of suspected viral origin to elucidate the current etiologic spectrum. In 46%of the cases, a viral finding was observed. Varicella-zoster virus (VZV) was the main agent associated with encephalitis, as well as meningitis and myelitis. VZV comprised 29% of all confirmed or probable etiologic agents. Herpes simplex virus (HSV) and enteroviruses accounted 11% each, and influenza A virus 7%. VZV seems to have achieved a major role in viral infections of CNS. In encephalitis in our population, VZV is clearly more commonly associated with these neurological diseases than HSV. The increase in VZV findings may in part be a pseudophenomenon due to improved diagnostic methods, however, a true increase may have occurred and the pathogenetic mechanisms behind this should be elucidated.</description><subject>Adenoviridae Infections - epidemiology</subject><subject>Adenoviridae Infections - virology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chlamydia Infections - epidemiology</subject><subject>Chlamydophila pneumoniae</subject><subject>Encephalitis - epidemiology</subject><subject>Encephalitis - microbiology</subject><subject>Encephalitis, Herpes Simplex - diagnosis</subject><subject>Encephalitis, Herpes Simplex - epidemiology</subject><subject>Encephalitis, Tick-Borne - epidemiology</subject><subject>Encephalitis, Tick-Borne - virology</subject><subject>Encephalitis, Varicella Zoster - diagnosis</subject><subject>Encephalitis, Viral - 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isolation & purification</subject><subject>Retrospective Studies</subject><subject>Rotavirus Infections - epidemiology</subject><subject>Rotavirus Infections - virology</subject><subject>Seroepidemiologic Studies</subject><subject>Vaccination</subject><subject>Varicella-zoster virus 1</subject><subject>Viral Vaccines</subject><issn>1355-0284</issn><issn>1538-2443</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><recordid>eNqF0UFrHCEUB3ApKU2a9gv0EDzlNo1Px9EtuYTQNIFAL-15cJxn1zCjG3UW9tvHZRd6CCQnBX_vj-89Qr4B-w5MsysQUjKuGSgpQDEu5QdyBlLohretOKn3Cpoq2lPyOecnxkB0XH8ipwBScwn8jLiH4NAWH0Om0dGyRmoxlGQmGjBt45Jp3uWC8_41L3lTMY506_ciJv_Phx_0hto4TWaIyRS_RZrLMu6oS3Gmdz5MJoxfyEdnpoxfj-c5-Xv388_tffP4-9fD7c1jY4WWpbFSQqe0tnzgotMrjqodnJIAHUgmlFWDs4OAQRgzrpRUoEEZ1Nq1sGJiFOfk8pC7SfF5wVz62WeL9XMBay-9Ag4tY-27EDTnQrOuQn6ANsWcE7p-k_xs0q4H1u_X0L9eQy26OKYvw4zj_5Lj3Cu4PgAfXEyzWaOZytqahP1TXFKoM3or_wXKY5TC</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Koskiniemi, Marjaleena</creator><creator>Rantalaiho, Timo</creator><creator>Piiparinen, Heli</creator><creator>von Bonsdorff, Carl-Henrik</creator><creator>Färkkilä, Markus</creator><creator>Järvinen, Asko</creator><creator>Kinnunen, Esko</creator><creator>Koskiniemi, Suvi</creator><creator>Mannonen, Laura</creator><creator>Muttilainen, Marketta</creator><creator>Linnavuori, Kimmo</creator><creator>Porras, Jukka</creator><creator>Puolakkainen, Mirja</creator><creator>Räihä, Kirsti</creator><creator>Salonen, Eeva-Marjatta</creator><creator>Ukkonen, Pentti</creator><creator>Vaheri, Antti</creator><creator>Valtonen, Villei</creator><general>Informa UK Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20011001</creationdate><title>Infections of the central nervous system of suspected viral origin: A collaborative study from Finland</title><author>Koskiniemi, Marjaleena ; Rantalaiho, Timo ; Piiparinen, Heli ; von Bonsdorff, Carl-Henrik ; Färkkilä, Markus ; Järvinen, Asko ; Kinnunen, Esko ; Koskiniemi, Suvi ; Mannonen, Laura ; Muttilainen, Marketta ; Linnavuori, Kimmo ; Porras, Jukka ; Puolakkainen, Mirja ; Räihä, Kirsti ; Salonen, Eeva-Marjatta ; Ukkonen, Pentti ; Vaheri, Antti ; Valtonen, Villei</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c385t-c5516788c2b236892e74bf7511615037c7bfcb31b3aad97571817ae88f41903d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adenoviridae Infections - 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In 46%of the cases, a viral finding was observed. Varicella-zoster virus (VZV) was the main agent associated with encephalitis, as well as meningitis and myelitis. VZV comprised 29% of all confirmed or probable etiologic agents. Herpes simplex virus (HSV) and enteroviruses accounted 11% each, and influenza A virus 7%. VZV seems to have achieved a major role in viral infections of CNS. In encephalitis in our population, VZV is clearly more commonly associated with these neurological diseases than HSV. The increase in VZV findings may in part be a pseudophenomenon due to improved diagnostic methods, however, a true increase may have occurred and the pathogenetic mechanisms behind this should be elucidated.</abstract><cop>United States</cop><pub>Informa UK Ltd</pub><pmid>11582512</pmid><doi>10.1080/135502801753170255</doi><tpages>9</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1355-0284 |
| ispartof | Journal of neurovirology, 2001-10, Vol.7 (5), p.400-408 |
| issn | 1355-0284 1538-2443 |
| language | eng |
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| source | Springer Nature |
| subjects | Adenoviridae Infections - epidemiology Adenoviridae Infections - virology Adolescent Adult Age Distribution Aged Child Child, Preschool Chlamydia Infections - epidemiology Chlamydophila pneumoniae Encephalitis - epidemiology Encephalitis - microbiology Encephalitis, Herpes Simplex - diagnosis Encephalitis, Herpes Simplex - epidemiology Encephalitis, Tick-Borne - epidemiology Encephalitis, Tick-Borne - virology Encephalitis, Varicella Zoster - diagnosis Encephalitis, Viral - diagnosis Encephalitis, Viral - epidemiology Encephalitis, Viral - virology Enterovirus Enterovirus Infections - diagnosis Enterovirus Infections - epidemiology Female Finland - epidemiology Herpes simplex virus 1 Herpesviridae Infections - diagnosis Herpesviridae Infections - epidemiology Humans Immunoenzyme Techniques Incidence Infant Infant, Newborn Influenza A virus Male Meningitis - diagnosis Meningitis - epidemiology Meningitis - virology Middle Aged Myelitis - diagnosis Myelitis - epidemiology Myelitis - virology Polymerase Chain Reaction Puumala virus - isolation & purification Retrospective Studies Rotavirus Infections - epidemiology Rotavirus Infections - virology Seroepidemiologic Studies Vaccination Varicella-zoster virus 1 Viral Vaccines |
| title | Infections of the central nervous system of suspected viral origin: A collaborative study from Finland |
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