West Nile virus

Last updated: September 12, 2024

West Nile virus

BMB2

BMB2

Seizures: Pathology review
Seizures: Clinical
Febrile seizure
Seizures and epilepsy
Early infantile epileptic encephalopathy (NORD)
Nonbenzodiazepine anticonvulsants
Migraine medications
Migraine
Neuron action potential
Resting membrane potential
Concussion and traumatic brain injury
Sleep
Sleep disorders: Clinical
Anticonvulsants and anxiolytics: Barbiturates
Anticonvulsants and anxiolytics: Benzodiazepines
Essential tremor
Malingering, factitious disorders and somatoform disorders: Pathology review
Somatic symptom disorders: Clinical
Somatic symptom disorder
Dissociative disorders
Dissociative disorders: Clinical
Amnesia, dissociative disorders and delirium: Pathology review
Narcolepsy (NORD)
Psychomotor stimulants
Trigeminal neuralgia
Muscle weakness: Clinical
Myalgias and myositis: Pathology review
Fibromyalgia
Diabetic nephropathy
Tricyclic antidepressants
Atypical antidepressants
Medications for neurodegenerative diseases
Toxidromes: Clinical
Body focused repetitive disorders
Headaches: Clinical
Demyelinating disorders: Pathology review
Serotonin and norepinephrine reuptake inhibitors
Erb-Duchenne palsy
Klumpke paralysis
Lead poisoning
Hemolytic-uremic syndrome
Vitamin B12 deficiency
Monoclonal gammopathy of undetermined significance
Charcot-Marie-Tooth disease
Inflammatory myopathies: Clinical
Guillain-Barre syndrome
Amyotrophic lateral sclerosis
Spinal muscular atrophy
Muscular dystrophy
Spinal cord reflexes
Myotonic dystrophy
Memory palaces
Herpes simplex virus
Neuromuscular junction and motor unit
Slow twitch and fast twitch muscle fibers
Muscle contraction
Development of the muscular system
Development of the axial skeleton
Patellar tendon rupture
Achilles tendon rupture
Lower back pain: Clinical
Carpal tunnel syndrome
Radial head subluxation (Nursemaid elbow)
Bell palsy
Headaches: Pathology review
Cluster headache
Tension headache
Epidural hematoma
Traumatic brain injury: Clinical
Intracerebral hemorrhage
Subarachnoid hemorrhage
Subdural hematoma
Traumatic brain injury: Pathology review
Idiopathic intracranial hypertension
Vasculitis
Vasculitis: Clinical
Dementia with Lewy bodies
Spinocerebellar ataxia (NORD)
Amyloidosis
Vascular dementia
Dementia and delirium: Clinical
Frontotemporal dementia
Dementia: Pathology review
Hypokinetic movement disorders: Clinical
Alzheimer disease
Movement disorders: Pathology review
Delirium
Parkinson disease
Hyperkinetic movement disorders: Clinical
Back pain: Pathology review
Stroke: Clinical
Compartment syndrome
Macrocytic anemia: Pathology review
Hypokalemia: Clinical
Hyperkalemia: Clinical
Hypothesis testing: One-tailed and two-tailed tests
Paired t-test
One-way ANOVA
Two-way ANOVA
Type I and type II errors
Two-sample t-test
Correlation
Repeated measures ANOVA
Meningitis, encephalitis and brain abscesses: Clinical
Neonatal meningitis
Central nervous system infections: Pathology review
Neisseria meningitidis
Streptococcus pneumoniae
Listeria monocytogenes
Brain abscess
Clostridium tetani (Tetanus)
Clostridium botulinum (Botulism)
Encephalitis
Eastern and Western equine encephalitis virus
West Nile virus
Zika virus
Rabies virus
Poliovirus
JC virus (Progressive multifocal leukoencephalopathy)
Knowledge Shot: What is acute flaccid myelitis, the polio-like paralyzing disease
Meningitis
Cryptococcus neoformans
Aspergillus fumigatus
Candida
Mucormycosis
Coccidioidomycosis and paracoccidioidomycosis
Blastomycosis
Histoplasmosis
Chi-squared test
Naegleria fowleri (Primary amebic meningoencephalitis)
Angiostrongylus (Eosinophilic meningitis)
Varicella zoster virus
Mycobacterium tuberculosis (Tuberculosis)
Normal pressure hydrocephalus
Prions (Spongiform encephalopathy)
Measles virus
Central nervous system infections: Pathology review
Meningitis, encephalitis and brain abscesses: Clinical
Adult brain tumors
Pediatric brain tumors: Pathology review
Adult brain tumors: Pathology review
Pediatric brain tumors
Brain tumors: Clinical
Multiple sclerosis
Tourette syndrome
Ataxia-telangiectasia
Huntington disease
Opsoclonus myoclonus syndrome (NORD)
Primary ciliary dyskinesia
Brain herniation
Spinal disc herniation
Multiple myeloma

Transcript

Watch video only

West Nile virus is an arthropod-borne virus, or arbovirus, which are viruses that get transmitted through insects called vectors.

The vector for west nile virus is the mosquito, and gets transmitted in highest frequency through the female Culex species, which feeds on birds.

The virus was first discovered in Uganda - west of the Nile - but has since been reported throughout the world.

The virus causes a disease called West Nile fever, which normally causes mild symptoms, but can progress to full blown encephalitis or meningitis.

Normally, west nile virus is found in birds and mosquitoes.

Birds act as a reservoir for the virus, meaning the virus can replicate at high enough levels to cause significant viremia, or elevated viral blood counts, which allows for transmission to other uninfected mosquitoes.

The virus will then replicate inside the mosquito and ultimately move into its salivary glands.

So when the mosquito bites another animal, it injects its infected saliva into the host, since mosquitoes normally use their saliva as an anticoagulant.

When the vector mosquito bites a larger animal, like a horse or a human, the virus can't spread from these larger animals because their blood doesn’t reach high enough levels of the virus to be passed on to any mosquitoes that happen to bite them.

And this is called a dead end host.

West Nile virus is composed of positive single-stranded RNA.

This means that their RNA is actually mRNA, and the host cell ribosomes use this mRNA to make a long polyprotein chain, which is then broken into smaller pieces by viral proteases.

This all happens in the cytoplasm of the host cell, since that’s where ribosomes are found, and results in the production of several viral proteins.

West Nile virus is surrounded by an icosahedral capsid, which is a spherical protein shell made up of 20 equilateral triangular faces.

West Nile virus is also an “enveloped virus” because the capsid is covered by a lipid membrane.

Now, west nile virus enters host cells using a lipid membrane protein called E2 in a process called clathrin-mediated endocytosis.

Clathrin-mediated endocytosis is a cellular process that creates a vesicle to internalize a certain substance, in the case here, the virus, with the help of the proteins called clathrins.

The virus’ membrane will then fuse with the host’s cell membrane, releasing its RNA genome into the cytoplasm of the host cell.

The replication of the viruses then will take place before exiting the host cell by outward budding of the host’s plasma membrane.

After people are infected with west nile virus it takes two to fourteen days to develop symptoms.

Most people infected with the virus, about eighty percent, have few to no symptoms at all.

Key Takeaways

West Nile virus is an arbovirus transmitted by mosquitoes, with birds acting as a reservoir. The virus causes West Nile fever, which can progress to encephalitis or meningitis. Symptoms include fever, headache, vomiting, and rash. Diagnosis is made by detecting elevated IgM levels in the serum or CSF using a specific immunoassay test. Treatment involves supportive care, and prevention is the best therapy, including the use of mosquito repellent and wearing protective clothing.