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obsolete Henipavirus infectious disease

Description

Henipavirus Infectious Disease: An Obsolete Threat?

The search results reveal information about an infectious disease caused by the Henipavirus genus, which is now considered obsolete. Here are some key points:

  • Definition: The disease is characterized as a Paramyxoviridae infectious disease that results in infection in domestic animals and humans.
  • Causes: The disease is caused by viruses of the genus Henipavirus, family Paramyxoviridae.
  • Symptoms: Unfortunately, there is limited information available on the symptoms of this disease.

It's essential to note that the Henipavirus infectious disease is now considered obsolete, which means it is no longer a significant public health concern. The focus has shifted to more pressing and emerging diseases.

References:

  • [4] - This search result provides information about an obsolete Henipavirus infectious disease.
  • [3] - This source mentions the disease as a synonym for Henipavirus caused disorder.
  • [13] - This reference provides a definition of the disease, but it is not considered relevant in today's context.

Please note that the information available on this topic is limited and outdated. If you have any further questions or would like to know more about other diseases, feel free to ask!

Signs and Symptoms

Obsolete Henipavirus Infectious Disease Signs and Symptoms

The signs and symptoms associated with Henipavirus infections, particularly those caused by the Nipah virus (NiV), have been documented in various studies. While these viruses are still considered emerging pathogens, their characteristics can be summarized as follows:

  • Incubation Period: The incubation period of NiV in humans is between 4 to 45 days, with >90% of symptoms developing between 4 and 14 days after exposure [14].
  • High Fever: High fever is a common symptom of Henipavirus infections, indicating the severity of the disease.
  • Respiratory Distress: Respiratory distress, including high fever, tachypnoea, stridor, and excessive drooling, are signs of severe infection [5].
  • Encephalitis: Encephalitis, or inflammation of the brain, is a hallmark symptom of Henipavirus infections, particularly those caused by NiV.
  • Neurological Signs: Neurological signs, such as impaired consciousness, seizures, and focal neurologic signs, suggest the likelihood of encephalitis or other severe infections [2].
  • Case-Fatality Ratio: The case-fatality ratio for Henipavirus infections is high, with some outbreaks resulting in mortality rates exceeding 90%.

It's essential to note that these symptoms can vary depending on the specific strain of the virus and individual factors. However, early recognition of these signs and symptoms is crucial for prompt medical attention and potential treatment.

References:

[1] K Johnson · 2021 · Cited by 28 [5] by K Johnson · 2021 · Cited by 28 [14] SIGNS AND SYMPTOMS. 5. [2] by JE Greenlee · 2014 · Cited by 5

Diagnostic Tests

Obsolete Diagnostic Tests for Henipavirus Infections

While modern diagnostic tests such as real-time PCR (RT-PCR) and serological testing are widely used to detect Henipavirus infections, there were some older methods that have been largely replaced. These include:

  • Conventional PCR: Also known as end-point PCR, this was a gel-based test that played a key role in Henipavirus diagnosis for almost a decade before the widespread adoption of RT-PCR [10].
  • Virus Isolation: This involved growing the virus from clinical or post-mortem specimens to confirm infection. However, it is a time-consuming and labor-intensive process that has largely been replaced by more sensitive and specific tests [4, 6].

Key Points:

  • Conventional PCR was used for Henipavirus diagnosis before the widespread adoption of RT-PCR.
  • Virus isolation was a time-consuming and labor-intensive process that has largely been replaced by more modern diagnostic methods.

Citations:

[10] - Until the wide application of real-time PCR (see Sect. 3.1.2), gel-based conventional PCR (also known as end point PCR) tests played a key role in henipavirus diagnosis for almost a decade. [4] - Diagnosis of disease caused by henipaviruses is by virus isolation, detection of viral RNA in clinical or post-mortem specimens or demonstration of viral ... [6] - Diagnosis of disease caused by henipaviruses is primarily by detection of viral RNA in clinical or post-mortem specimens, and virus isolation or demonstration ...

Treatment

Treatment Options for Henipavirus Infections

Henipavirus infections, including Nipah and Hendra viruses, are viral diseases that can cause severe respiratory and neurological symptoms. While there is no specific treatment or vaccine available for these diseases, several antiviral medications have been tested and shown some promise in treating henipavirus infections.

  • Ribavirin: In the past, ribavirin was considered an option for treatment of henipavirus infections (3). However, more recent studies have revealed limited efficacy of this medication against henipaviruses.
  • Favipiravir: A study published in 2018 demonstrated that favipiravir has potent antiviral activity against henipaviruses, including Nipah and Hendra viruses (2).
  • Remdesivir: Remdesivir has been shown to be protective against NiV challenge in African green monkeys when daily, intravenous treatment was initiated within a certain timeframe (4). Additionally, remdesivir was found effective against NiV-B in a study conducted in 2023 (9).

It's essential to note that these treatments are not universally available and may not be effective for all individuals infected with henipaviruses. Treatment is often symptomatic, and prevention through vaccination and ensuring HeV vaccination of all relevant populations remains the most effective approach.

References: (1) M Aljofan et al., 2010 - [1] (2) BE Dawes et al., 2018 - [2] (3) CC Broder et al., 2013 - [3] (4) RG Román et al., 2022 - [4] (5) XHS Chan, 2024 - [9]

Recommended Medications

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Differential Diagnosis

Differential Diagnosis of Henipavirus Infection

Henipavirus infection, a viral disease caused by the Hendra and Nipah viruses, can be challenging to diagnose due to its similarity with other viral infections. The differential diagnosis of henipavirus infection involves ruling out other conditions that present with similar symptoms.

Similar Conditions:

  • Measles virus
  • Respiratory Syncytial Virus (RSV)
  • Human Parainfluenza Virus (HPIV)
  • Herpesviruses
  • Other viral infections

These conditions can cause influenza-like illness, pneumonia, and encephalitis, making it essential to perform a thorough diagnostic workup to rule out henipavirus infection.

Diagnostic Tests:

The diagnosis of henipavirus infection is confirmed through a combination of tests, including:

  • Enzyme-linked immunosorbent assay (ELISA) of serum or cerebrospinal fluid (CSF)
  • Reverse transcription PCR of serum, CSF, or other bodily fluids
  • Isolation and infection control measures should be put in place as soon as a case is suspected.

Public Health Implications:

Prompt diagnosis and reporting to public health authorities are crucial to prevent further transmission of the virus. Nipah and Hendra viruses can cause encephalitis, respiratory, and influenza-like presentations, making it essential to take swift action to control the spread of the disease.

References:

  • [1] Pathologic Differential Diagnosis.
  • [3] Laboratory diagnosis is made by using a combination of tests, including ELISA of serum or cerebrospinal fluid (CSF); reverse transcription PCR of serum, CSF, or other bodily fluids.
  • [4] Isolation and infection control measures should be put in place as soon as a case is suspected. Public health authorities should be informed as soon as a case is suspected.
  • [6] In humans, henipavirus infection is characterized by influenza-like illness, which can progress to pneumonia or acute respiratory distress syndrome (ARDS).
  • [14] This murine resistance to henipavirus infection likely arises at a post-entry step, as the henipavirus attachment glycoprotein binds to murine ephrinB2 just as well as human ephrinB2.

Additional Differential Diagnoses

Additional Information

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