2015年5月7日木曜日

日本脳炎 (Japanese Encephalitis; JE)

日本で幼少時の定期予防接種に名前があったこと位しか覚えていませんでしたが、
旅行医学の試験とその後のトラベルクリニックではまともな知識が必要とされるようになりました。
皆さんも参考までに。

JE virus is the leading cause of vaccine-preventable encephalitis in Asia and the western Pacific. 

For most travelers to Asia, the risk for JE is very low but varies based on destination, duration of travel, season, and activities

JE virus is maintained in a cycle involving mosquitoes and vertebrate hosts, mainly pigs and wading birds

Humans can be infected when bitten by an infected mosquito

Most human infections are asymptomatic or result in only mild symptoms. 

However, a small percentage of infected persons develop inflammation of the brain (encephalitis), with symptoms including sudden onset of headache, high fever, disorientation, coma, tremors and convulsions

About 1 in 4 cases are fatal. 

There is no specific treatment for JE. 

Patient management focuses on supportive care and management of complications. 

Steps to prevent JE include using personal protective measures to prevent mosquito bites and vaccination.

引用: http://www.cdc.gov/japaneseencephalitis/

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