Late clinical and magnetic resonance imaging follow up of Nipah virus infection
The Nipah virus is a newly identified paramyxovirus responsible for an outbreak of fatal encephalitis in Malaysia and Singapore. This paper reports the follow up clinical and magnetic resonance imaging findings in 22 affected subjects. Of 13 patients with encephalitis, one died, one was lost to foll...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2003-01, Vol.74 (1), p.131-133 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | Lim, C C T Lee, W L Leo, Y S Lee, K E Chan, K P Ling, A E Oh, H Auchus, A P Paton, N I Hui, F Tambyah, P A |
| description | The Nipah virus is a newly identified paramyxovirus responsible for an outbreak of fatal encephalitis in Malaysia and Singapore. This paper reports the follow up clinical and magnetic resonance imaging findings in 22 affected subjects. Of 13 patients with encephalitis, one died, one was lost to follow up, and seven recovered. Among the four remaining patients, one had residual sixth nerve palsy, another suffered from severe clinical depression, and a third patient had evidence of retinal artery occlusion. One patient with delayed onset Horner syndrome had a single lesion in the cervical spinal cord. The brain magnetic resonance findings were stable or improved in nine patients over 18 months of follow up. Among a second group of nine asymptomatic seropositive abattoir workers, magnetic resonance examination in seven subjects revealed discrete small lesions in the brain; similar to those detected in encephalitis patients. These findings suggest that in addition to encephalitis, the newly discovered Nipah virus affects the spinal cord and the retina. Late clinical and radiological findings can occur in Nipah virus infections as with other paramyxoviruses. |
| doi_str_mv | 10.1136/jnnp.74.1.131 |
| format | Article |
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This paper reports the follow up clinical and magnetic resonance imaging findings in 22 affected subjects. Of 13 patients with encephalitis, one died, one was lost to follow up, and seven recovered. Among the four remaining patients, one had residual sixth nerve palsy, another suffered from severe clinical depression, and a third patient had evidence of retinal artery occlusion. One patient with delayed onset Horner syndrome had a single lesion in the cervical spinal cord. The brain magnetic resonance findings were stable or improved in nine patients over 18 months of follow up. Among a second group of nine asymptomatic seropositive abattoir workers, magnetic resonance examination in seven subjects revealed discrete small lesions in the brain; similar to those detected in encephalitis patients. These findings suggest that in addition to encephalitis, the newly discovered Nipah virus affects the spinal cord and the retina. Late clinical and radiological findings can occur in Nipah virus infections as with other paramyxoviruses.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.74.1.131</identifier><identifier>PMID: 12486285</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Abducens Nerve Diseases - epidemiology ; Adult ; Aged ; Animals ; Biological and medical sciences ; Brain - pathology ; Case studies ; Cerebellar Ataxia - epidemiology ; Cerebrospinal Fluid - virology ; Coma ; Comorbidity ; Depression - epidemiology ; Disease ; Disease Outbreaks ; Disease Progression ; Encephalitis ; Encephalitis - diagnosis ; Encephalitis - epidemiology ; Encephalitis - physiopathology ; Female ; Follow-Up Studies ; Henipavirus Infections - diagnosis ; Henipavirus Infections - epidemiology ; Henipavirus Infections - physiopathology ; Hospital Mortality ; Hospitals ; Human viral diseases ; Humans ; Identification and classification ; Infections ; Infectious diseases ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Muscle Weakness - epidemiology ; paramyxovirus ; Paramyxoviruses ; Pathogens ; Patients ; Prospective Studies ; Recovery of Function ; Retina - pathology ; Serologic Tests ; Short Report ; Singapore - epidemiology ; Spinal Cord - pathology ; Studies ; Swine ; Time ; Tropical medicine ; Varieties ; Veins & arteries ; Viral diseases ; Viral diseases of the nervous system</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2003-01, Vol.74 (1), p.131-133</ispartof><rights>Copyright 2003 Journal of Neurology Neurosurgery and Psychiatry</rights><rights>2003 INIST-CNRS</rights><rights>COPYRIGHT 2003 BMJ Publishing Group Ltd.</rights><rights>Copyright: 2003 Copyright 2003 Journal of Neurology Neurosurgery and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b587t-6bd3e09d624882fe67675f07f6c73c03e1e184223281c83442a8b80564c48d1c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1738187/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1738187/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,27923,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14425257$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12486285$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lim, C C T</creatorcontrib><creatorcontrib>Lee, W L</creatorcontrib><creatorcontrib>Leo, Y S</creatorcontrib><creatorcontrib>Lee, K E</creatorcontrib><creatorcontrib>Chan, K P</creatorcontrib><creatorcontrib>Ling, A E</creatorcontrib><creatorcontrib>Oh, H</creatorcontrib><creatorcontrib>Auchus, A P</creatorcontrib><creatorcontrib>Paton, N I</creatorcontrib><creatorcontrib>Hui, F</creatorcontrib><creatorcontrib>Tambyah, P A</creatorcontrib><title>Late clinical and magnetic resonance imaging follow up of Nipah virus infection</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>The Nipah virus is a newly identified paramyxovirus responsible for an outbreak of fatal encephalitis in Malaysia and Singapore. This paper reports the follow up clinical and magnetic resonance imaging findings in 22 affected subjects. Of 13 patients with encephalitis, one died, one was lost to follow up, and seven recovered. Among the four remaining patients, one had residual sixth nerve palsy, another suffered from severe clinical depression, and a third patient had evidence of retinal artery occlusion. One patient with delayed onset Horner syndrome had a single lesion in the cervical spinal cord. The brain magnetic resonance findings were stable or improved in nine patients over 18 months of follow up. Among a second group of nine asymptomatic seropositive abattoir workers, magnetic resonance examination in seven subjects revealed discrete small lesions in the brain; similar to those detected in encephalitis patients. These findings suggest that in addition to encephalitis, the newly discovered Nipah virus affects the spinal cord and the retina. Late clinical and radiological findings can occur in Nipah virus infections as with other paramyxoviruses.</description><subject>Abducens Nerve Diseases - epidemiology</subject><subject>Adult</subject><subject>Aged</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>Case studies</subject><subject>Cerebellar Ataxia - epidemiology</subject><subject>Cerebrospinal Fluid - virology</subject><subject>Coma</subject><subject>Comorbidity</subject><subject>Depression - epidemiology</subject><subject>Disease</subject><subject>Disease Outbreaks</subject><subject>Disease Progression</subject><subject>Encephalitis</subject><subject>Encephalitis - diagnosis</subject><subject>Encephalitis - epidemiology</subject><subject>Encephalitis - physiopathology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Henipavirus Infections - diagnosis</subject><subject>Henipavirus Infections - epidemiology</subject><subject>Henipavirus Infections - physiopathology</subject><subject>Hospital Mortality</subject><subject>Hospitals</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Identification and classification</subject><subject>Infections</subject><subject>Infectious diseases</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Muscle Weakness - epidemiology</subject><subject>paramyxovirus</subject><subject>Paramyxoviruses</subject><subject>Pathogens</subject><subject>Patients</subject><subject>Prospective Studies</subject><subject>Recovery of Function</subject><subject>Retina - pathology</subject><subject>Serologic Tests</subject><subject>Short Report</subject><subject>Singapore - epidemiology</subject><subject>Spinal Cord - pathology</subject><subject>Studies</subject><subject>Swine</subject><subject>Time</subject><subject>Tropical medicine</subject><subject>Varieties</subject><subject>Veins & arteries</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFksuLFDEQhxtR3HH16FUConiwx7yTuQjL-Fhh2D34wFtIp6t7M_YkY9K96n9vhhl2VERTh0DVx6-eVfWQ4DkhTL5Yh7CdKz4nc8LIrWpGuNQ1Y_jz7WqGMaU1wwKfVPdyXuPd04u71QmhXEuqxay6XNkRkBt88M4OyIYWbWwfYPQOJcgx2OAA-eLzoUddHIb4DU1bFDt04bf2Cl37NGXkQwdu9DHcr-50dsjw4PCfVh_fvP6wPK9Xl2_fLc9WdSO0GmvZtAzwopWlEE07kEoq0WHVSaeYwwwIEM0pZVQTpxnn1OpGYyG547oljp1WL_e626nZQOsgjMkOZptKqemHidab3yPBX5k-XhuimCZaFYGnB4EUv06QR7Px2cEw2ABxykZRvSCc4QI-_gNcxymF0lzR0kSQBeekUM_3VG8HMGUcsWR1PQQoyWOAzhf32UJywTgRBa__ghdrYePdP3iXYs4JuptOCTa7OzC7OzCKG2LKHRT-0a_jOdKHxRfgyQGwuSy-S2XPPh-5MnFBhTom9nmE7zdxm74YqZgS5uLT0vD3K8nPuTKvCv9szzeb9X9q_AmALdZR</recordid><startdate>200301</startdate><enddate>200301</enddate><creator>Lim, C C T</creator><creator>Lee, W L</creator><creator>Leo, Y S</creator><creator>Lee, K E</creator><creator>Chan, K P</creator><creator>Ling, A E</creator><creator>Oh, H</creator><creator>Auchus, A P</creator><creator>Paton, N I</creator><creator>Hui, F</creator><creator>Tambyah, P A</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200301</creationdate><title>Late clinical and magnetic resonance imaging follow up of Nipah virus infection</title><author>Lim, C C T ; Lee, W L ; Leo, Y S ; Lee, K E ; Chan, K P ; Ling, A E ; Oh, H ; Auchus, A P ; Paton, N I ; Hui, F ; Tambyah, P A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b587t-6bd3e09d624882fe67675f07f6c73c03e1e184223281c83442a8b80564c48d1c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Abducens Nerve Diseases - epidemiology</topic><topic>Adult</topic><topic>Aged</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Brain - pathology</topic><topic>Case studies</topic><topic>Cerebellar Ataxia - epidemiology</topic><topic>Cerebrospinal Fluid - virology</topic><topic>Coma</topic><topic>Comorbidity</topic><topic>Depression - epidemiology</topic><topic>Disease</topic><topic>Disease Outbreaks</topic><topic>Disease Progression</topic><topic>Encephalitis</topic><topic>Encephalitis - diagnosis</topic><topic>Encephalitis - epidemiology</topic><topic>Encephalitis - physiopathology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Henipavirus Infections - diagnosis</topic><topic>Henipavirus Infections - epidemiology</topic><topic>Henipavirus Infections - physiopathology</topic><topic>Hospital Mortality</topic><topic>Hospitals</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Identification and classification</topic><topic>Infections</topic><topic>Infectious diseases</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Muscle Weakness - epidemiology</topic><topic>paramyxovirus</topic><topic>Paramyxoviruses</topic><topic>Pathogens</topic><topic>Patients</topic><topic>Prospective Studies</topic><topic>Recovery of Function</topic><topic>Retina - pathology</topic><topic>Serologic Tests</topic><topic>Short Report</topic><topic>Singapore - epidemiology</topic><topic>Spinal Cord - pathology</topic><topic>Studies</topic><topic>Swine</topic><topic>Time</topic><topic>Tropical medicine</topic><topic>Varieties</topic><topic>Veins & arteries</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lim, C C T</creatorcontrib><creatorcontrib>Lee, W L</creatorcontrib><creatorcontrib>Leo, Y S</creatorcontrib><creatorcontrib>Lee, K E</creatorcontrib><creatorcontrib>Chan, K P</creatorcontrib><creatorcontrib>Ling, A E</creatorcontrib><creatorcontrib>Oh, H</creatorcontrib><creatorcontrib>Auchus, A P</creatorcontrib><creatorcontrib>Paton, N I</creatorcontrib><creatorcontrib>Hui, F</creatorcontrib><creatorcontrib>Tambyah, P A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lim, C C T</au><au>Lee, W L</au><au>Leo, Y S</au><au>Lee, K E</au><au>Chan, K P</au><au>Ling, A E</au><au>Oh, H</au><au>Auchus, A P</au><au>Paton, N I</au><au>Hui, F</au><au>Tambyah, P A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late clinical and magnetic resonance imaging follow up of Nipah virus infection</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2003-01</date><risdate>2003</risdate><volume>74</volume><issue>1</issue><spage>131</spage><epage>133</epage><pages>131-133</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>The Nipah virus is a newly identified paramyxovirus responsible for an outbreak of fatal encephalitis in Malaysia and Singapore. This paper reports the follow up clinical and magnetic resonance imaging findings in 22 affected subjects. Of 13 patients with encephalitis, one died, one was lost to follow up, and seven recovered. Among the four remaining patients, one had residual sixth nerve palsy, another suffered from severe clinical depression, and a third patient had evidence of retinal artery occlusion. One patient with delayed onset Horner syndrome had a single lesion in the cervical spinal cord. The brain magnetic resonance findings were stable or improved in nine patients over 18 months of follow up. Among a second group of nine asymptomatic seropositive abattoir workers, magnetic resonance examination in seven subjects revealed discrete small lesions in the brain; similar to those detected in encephalitis patients. These findings suggest that in addition to encephalitis, the newly discovered Nipah virus affects the spinal cord and the retina. Late clinical and radiological findings can occur in Nipah virus infections as with other paramyxoviruses.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>12486285</pmid><doi>10.1136/jnnp.74.1.131</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0022-3050 |
| ispartof | Journal of neurology, neurosurgery and psychiatry, 2003-01, Vol.74 (1), p.131-133 |
| issn | 0022-3050 1468-330X |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1738187 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Abducens Nerve Diseases - epidemiology Adult Aged Animals Biological and medical sciences Brain - pathology Case studies Cerebellar Ataxia - epidemiology Cerebrospinal Fluid - virology Coma Comorbidity Depression - epidemiology Disease Disease Outbreaks Disease Progression Encephalitis Encephalitis - diagnosis Encephalitis - epidemiology Encephalitis - physiopathology Female Follow-Up Studies Henipavirus Infections - diagnosis Henipavirus Infections - epidemiology Henipavirus Infections - physiopathology Hospital Mortality Hospitals Human viral diseases Humans Identification and classification Infections Infectious diseases Magnetic Resonance Imaging Male Medical sciences Middle Aged Muscle Weakness - epidemiology paramyxovirus Paramyxoviruses Pathogens Patients Prospective Studies Recovery of Function Retina - pathology Serologic Tests Short Report Singapore - epidemiology Spinal Cord - pathology Studies Swine Time Tropical medicine Varieties Veins & arteries Viral diseases Viral diseases of the nervous system |
| title | Late clinical and magnetic resonance imaging follow up of Nipah virus infection |
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