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Japanese encephalitis: Immunocytochemical studies of viral antigen and Inflammatory cells in fatal cases

✍ Scribed by Dr. Richard T. Johnson; Donald S. Burke; Michael Elwell; Colin J. Leake; Ananda Nisalak; Charles H. Hoke; Wanida Lorsomrudee

Publisher: John Wiley and Sons
Year: 1985
Tongue: English
Weight: 729 KB
Volume: 18
Category: Article
ISSN: 0364-5134
DOI: 10.1002/ana.410180510

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✦ Synopsis

The distribution of virus and the composition of the mononuclear inflammatory response were studied in the brains of 7 children who died with Japanese encephalitis. Viral antigen was localized to neurons, with greatest involvement in the thalamus and brainstem. Quantitation of perivascular inflammatory responses showed a preponderance of T cells, but only 7 to 30% of these cells were T suppressorkytotoxic cells. Inflammatory cells invading the parenchyma were predominantly macrophages with small numbers of T cells. B cells remained localized to perivascular cuffs. Viral antigen was progressively cleared in patients with survival of 6 days or more.

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