Macacine alphaherpesvirus 1: Difference between revisions

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** Asymptomatic or similar presentation to HSV in the monkey
** Asymptomatic or similar presentation to HSV in the monkey
** Seroprevalence reaches 100% in some populations of macaques
** Seroprevalence reaches 100% in some populations of macaques
* Incubation period 5 to 21 days (range 2 days to 5 weeks)
* Three clinical forms:
* Three clinical forms:
** Flu-like illness followed by CNS symptoms
** Flu-like illness followed by CNS symptoms

Revision as of 13:08, 15 October 2019

Background

  • Also known as macacine herpesvirus 1, macacine alphaherpesvirus 1, cercopithecine herpesvirus 1, CHV-1), herpes B virus, monkey B virus, herpesvirus simiae and herpesvirus B

History

  • First diagnosed in a researcher in 1933

Microbiology

  • Double-stranded DNA virus
  • Alphaherpesvirus, in the same family as HSV

Clinical Presentation

  • Typically via bite or scratch of macaque monkey
    • Asymptomatic or similar presentation to HSV in the monkey
    • Seroprevalence reaches 100% in some populations of macaques
  • Incubation period 5 to 21 days (range 2 days to 5 weeks)
  • Three clinical forms:
    • Flu-like illness followed by CNS symptoms
    • Local symptoms (itching, tingling, numbness, or pain) at the inoculation site, with or without vesicular rash and regional lymphadenopathy
    • Peripheral or central nervous system symptoms, with meningismus, vomiting, confusion, cranial nerve palsies
  • Eventually progresses to global encephalitis, seizures, paralysis, and respiratory failure
  • Mortality 70% if untreated

Diagnosis

Management

References

  1. ^  Joshua Fierer. Herpes B Virus Encephalomyelitis Presenting as Ophthalmic Zoster. Annals of Internal Medicine. 1973;79(2):225. doi:10.7326/0003-4819-79-2-225.