Diagnostic approach to encephalitis and meningoencephalitis in adult returning travellers.
Clin Microbiol Infect
; 25(4): 415-421, 2019 Apr.
Article
em En
| MEDLINE
| ID: mdl-30708123
ABSTRACT
BACKGROUND:
Encephalitis and meningoencephalitis are severe, sometime life-threatening infections of the central nervous system. Travellers may be exposed to a variety of neurotropic pathogens.AIMS:
We propose to review known infectious causes of encephalitis in adults acquired outside Europe, and how to identify them. SOURCES We used Pubmed and Embase, to search the most relevant publications over the last years. CONTENT Microbiologic tests and radiological tools to best identify the causative pathogen in travellers presenting with encephalitis and ME are presented in this narrative review, as well as a diagnostic approach tailored to the visited area and types of exposures. IMPLICATIONS This review highlights the diagnostic difficulties inherent to exotic causes of central nervous system infections, and attempts to guide clinicians with respect to which microbiological tests to consider, in addition to brain MRI, when approaching a returning traveller presenting with encephalitis.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
3_ND
Problema de saúde:
3_zoonosis
Assunto principal:
Parasitos
/
Bactérias
/
Vírus
/
Encéfalo
/
Tecido Parenquimatoso
/
Doença Relacionada a Viagens
/
Fungos
/
Meningoencefalite
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
/
Systematic_reviews
Limite:
Adult
/
Animals
/
Humans
País/Região como assunto:
Europa
Idioma:
En
Revista:
Clin Microbiol Infect
Assunto da revista:
DOENCAS TRANSMISSIVEIS
/
MICROBIOLOGIA
Ano de publicação:
2019
Tipo de documento:
Article
País de afiliação:
Suíça