California encephalitis orthobunyavirus

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A virus of the Bunyaviridae family causing encephalitis


California encephalitis virus
Synonyms California serogroup virus encephalitis
Pronounce N/A
Specialty N/A
Symptoms Fever, headache, nausea, vomiting, lethargy, seizures (especially in children)
Complications Encephalitis, neurological deficits, seizures, coma (rare)
Onset Typically 3–7 days after exposure
Duration Acute; symptoms may last a few days to weeks
Types Includes subtypes like La Crosse encephalitis virus
Causes Infection with the California encephalitis virus, a member of the Bunyavirales order
Risks Exposure to infected mosquito bites, especially in wooded areas
Diagnosis Serologic testing, RT-PCR, cerebrospinal fluid analysis
Differential diagnosis West Nile virus, Eastern equine encephalitis, Herpes simplex encephalitis, Bacterial meningitis
Prevention Mosquito bite prevention (e.g. insect repellent, long sleeves)
Treatment Supportive care, management of complications (e.g. anticonvulsants for seizures)
Medication No specific antiviral treatment available
Prognosis Generally good; most recover fully, though some may have lingering neurologic symptoms
Frequency Rare; more common in parts of the United States (e.g. Midwest and Appalachian regions)
Deaths Very rare; fatality rate is low


California encephalitis orthobunyavirus is a member of the Orthobunyavirus genus within the Bunyaviridae family. This virus is primarily known for causing encephalitis, an inflammation of the brain, in humans. It is part of a group of viruses known as the California serogroup viruses, which are transmitted by mosquitoes.

Virology

The California encephalitis orthobunyavirus is an RNA virus with a segmented, negative-sense RNA genome. It is enveloped and has a spherical shape. The virus is transmitted to humans through the bite of infected mosquitoes, primarily of the Aedes and Culex genera. Once inside the human host, the virus can cross the blood-brain barrier and cause inflammation of the brain tissue.

Epidemiology

The virus is endemic to certain regions of the United States, particularly in the Midwest and Northeast. It is most commonly reported during the summer months when mosquito activity is at its peak. The primary hosts of the virus are small mammals, such as chipmunks and squirrels, which serve as reservoirs for the virus. Humans are considered incidental hosts and do not contribute to the transmission cycle.

Clinical Features

Infection with California encephalitis orthobunyavirus can lead to a range of symptoms, from mild febrile illness to severe encephalitis. Common symptoms include fever, headache, nausea, and vomiting. In severe cases, patients may experience seizures, confusion, and coma. The disease can be particularly severe in children.

Diagnosis

Diagnosis of California encephalitis orthobunyavirus infection is typically made through serological testing to detect specific antibodies against the virus. Polymerase chain reaction (PCR) testing can also be used to detect viral RNA in clinical samples. Lumbar puncture may be performed to analyze cerebrospinal fluid in cases of suspected encephalitis.

Treatment and Prevention

There is no specific antiviral treatment for California encephalitis orthobunyavirus infection. Management is primarily supportive, focusing on relieving symptoms and preventing complications. Prevention strategies include reducing exposure to mosquitoes through the use of insect repellent, wearing protective clothing, and eliminating standing water where mosquitoes breed.

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Contributors: Prab R. Tumpati, MD