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

Richard T. Johnson, Donald S. Burke, Michael Elwell, Colin J. Leake, Ananda Nisalak, Charles H. Hoke, Wanida Lorsomrudee

Research output: Contribution to journalArticlepeer-review

181 Scopus citations

Abstract

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 suppressor/cytotoxic 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.

Original languageEnglish (US)
Pages (from-to)567-573
Number of pages7
JournalAnnals of neurology
Volume18
Issue number5
DOIs
StatePublished - Nov 1985

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

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