Hepatitis E Virus Infection: Neurological Manifestations and Pathophysiology

被引:19
作者
Lhomme, Sebastien [1 ,2 ]
Abravanel, Florence [1 ,2 ]
Cintas, Pascal [3 ]
Izopet, Jacques [1 ,2 ]
机构
[1] Univ Toulouse, Infinity, CNRS, INSERM,UPS, F-31300 Toulouse, France
[2] CHU Toulouse, Hop Purpan, Lab Virol, F-31300 Toulouse, France
[3] CHU Toulouse, Serv Neurol, Hop Purpan, F-31300 Toulouse, France
关键词
hepatitis E virus; neurological manifestations; extra-hepatic manifestations; GUILLAIN-BARRE-SYNDROME; NEURALGIC AMYOTROPHY; PATIENT; RIBAVIRIN; FRANCE; REPLICATION; ASSOCIATION; DISORDERS; OUTBREAK; VARIANT;
D O I
10.3390/pathogens10121582
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Hepatitis E virus (HEV) is the first cause of viral hepatitis in the world. While the water-borne HEV genotypes 1 and 2 are found in developing countries, HEV genotypes 3 and 4 are endemic in developed countries due to the existence of animal reservoirs, especially swine. An HEV infection produces many extra-hepatic manifestations in addition to liver symptoms, especially neurological disorders. The most common are neuralgic amyotrophy or Parsonage-Turner syndrome, Guillain-Barre syndrome, myelitis, and encephalitis. The pathophysiology of the neurological injuries due to HEV remains uncertain. The immune response to the virus probably plays a role, but direct virus neurotropism could also contribute to the pathophysiology. This review describes the main neurological manifestations and their possible pathogenic mechanisms.
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页数:11
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