西尼罗河病毒:旅行者面临的另一种新出现的虫媒病毒风险?

IF 3.1 4区 医学 Q2 INFECTIOUS DISEASES
Current Infectious Disease Reports Pub Date : 2022-01-01 Epub Date: 2022-08-04 DOI:10.1007/s11908-022-00783-4
Chinmay Jani, Loukas Kakoullis, Nour Abdallah, Christian Mouchati, Stephanie Page, Robert Colgrove, Lin H Chen
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引用次数: 3

摘要

综述目的:西尼罗病毒(WNV)是一种由库蚊属蚊传播的虫媒病毒。西尼罗河病毒感染的表现从无症状到毁灭性的神经侵入性疾病,导致弛弛性瘫痪和死亡。本文综述了西尼罗河病毒的流行病学和生态学,重点是旅行相关感染。最近的发现:西尼罗河病毒分布广泛,包括北美和欧洲,其范围在过去十年中有所扩大。预计温带地区气温上升将导致库蚊数量增加,并增强其传播西尼罗河病毒的能力。尽管西尼罗河病毒的流行病学模式各不相同,但其地理分布肯定会继续增加。旅行者有感染西尼罗河病毒及其并发症的风险。文献回顾确定了39例记录的与旅行相关的西尼罗河病毒疾病,其中大多数导致不良后果,如神经侵入性疾病、恢复期延长或死亡。摘要:由于媒介、病原体、宿主和环境的复杂相互作用,预测西尼罗河病毒的风险具有挑战性。计划前往流行地区的旅行者应被告知西尼罗河病毒的风险和蚊虫叮咬预防。对有相似症状的患病旅行者进行评估时,应考虑对去过流行地区的人以及从已知有西尼罗河病毒流行的目的地返回的人进行西尼罗河病毒诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

West Nile virus: another emerging arboviral risk for travelers?

West Nile virus: another emerging arboviral risk for travelers?

Purpose of review: West Nile virus (WNV) is an arbovirus transmitted by mosquitos of the genus Culex. Manifestations of WNV infection range from asymptomatic to devastating neuroinvasive disease leading to flaccid paralysis and death. This review examines WNV epidemiology and ecology, with an emphasis on travel-associated infection.

Recent findings: WNV is widespread, including North America and Europe, where its range has expanded in the past decade. Rising temperatures in temperate regions are predicted to lead to an increased abundance of Culex mosquitoes and an increase in their ability to transmit WNV. Although the epidemiologic patterns of WNV appear variable, its geographic distribution most certainly will continue to increase. Travelers are at risk for WNV infection and its complications. Literature review identified 39 cases of documented travel-related WNV disease, the majority of which resulted in adverse outcomes, such as neuroinvasive disease, prolonged recovery period, or death.

Summary: The prediction of WNV risk is challenging due to the complex interactions of vector, pathogen, host, and environment. Travelers planning to visit endemic areas should be advised regarding WNV risk and mosquito bite prevention. Evaluation of ill travelers with compatible symptoms should consider the diagnosis of WNV for those visiting in endemic areas as well as for those returning from destinations with known WNV circulation.

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来源期刊
Current Infectious Disease Reports
Current Infectious Disease Reports INFECTIOUS DISEASES-
CiteScore
6.70
自引率
0.00%
发文量
19
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of infectious disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as HIV/AIDS, sexually transmitted diseases, tropical and travel medicine, and urinary tract infections. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists.
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