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Chapter 18 : Acute Viral Infections with Rare Late Complications

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Abstract:

The long-term or late rare complications of acute viral infections is the main focus in this chapter. An incentive for following up patients long-term is the opportunity to document the natural history of an infection. Another incentive is to detect late-onset effects as early as possible and to do something to either treat or prevent them. Deafness is common after congenital cytomegalovirus (CMV) infection and may become manifest many months after birth. The importance of rubella vaccination is highlighted by the recent rise in congenital rubella after a rubella epidemic in Brazil. The study concluded that children with human immunodeficiency virus (HIV)/AIDS are at increased risk for psychiatric hospitalizations during childhood and early adolescence compared with the general pediatric population. Maternally acquired hepatitis B virus (HBV) and HBV acquired horizontally early in life are much more likely to lead to long-term liver disease than infection acquired in adulthood. Nipah virus (NiV) is an emerging zoonosis causing outbreaks of encephalitis. The long-term consequences of congenital and acquired infections include endocrine, immunological, and cardiovascular disease, deafness, visual problems, intellectual handicap, developmental delay, cerebral palsy, and other neurological problems, such as parkinsonism and poliomyelitis-like syndromes.

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18

Key Concept Ranking

Japanese encephalitis virus
0.561966
West nile virus
0.561966
Japanese encephalitis virus
0.561966
West nile virus
0.561966
Japanese encephalitis virus
0.561966
West nile virus
0.561966
Hepatitis B virus
0.5414582
0.561966
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References

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Tables

Generic image for table
Table 1.

Duration of CMV urinary excretion according to the presence of outcome in children with congenital CMV infection ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18
Generic image for table
Table 2.

Thirty-five congenitally CMV-infected infants and 50 control infants, followed up by virus isolation testing in urine ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18
Generic image for table
Table 3.

Value of cranial ultrasound scanning in predicting outcome in 57 patients with congenital CMV infection ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18
Generic image for table
Table 4.

Causes of death in 50 subjects with congenital rubella followed up for 50 years ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18
Generic image for table
Table 5.

Clinical and neurological outcomes of 142 patients after enterovirus 71 infection with central nervous system involvement ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18
Generic image for table
Table 6.

Clinical findings in six of seven children aged between 4 and 15 years, after intrauterine infection with coxsackie virus ( )

Citation: McIntosh E. 2009. Acute Viral Infections with Rare Late Complications, p 331-337. In Fratamico P, Smith J, Brogden K (ed), Sequelae and Long-Term Consequences of Infectious Diseases. ASM Press, Washington, DC. doi: 10.1128/9781555815486.ch18

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