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About

Immunization with Heterologous Flaviviruses Protective Against Fatal West Nile Encephalitis

All relevant data are within the paper and its Supporting Information files. Surprisingly, no further cases of ROCV infection were identified after this outbreak; however, serological surveys have suggested the circulation of ROCV among humans and animals in different regions of Brazil. Cross-protective immunity among flaviviruses is well documented; consequently, immunity induced by infections with other flaviviruses endemic to Brazil could potentially be responsible for the lack of ROCV infections. Cross-protection against ROCV infection was observed when animals had prior exposure to Ilheus virus or Saint Louis encephalitis virus, suggesting that cross-reactive anti-flavivirus antibodies may limit ROCV disease outbreaks. The disease was mainly characterized by an acute onset of fever and headache, in addition to clinical signs and symptoms of central nervous system CNS involvement such as meningeal irritation, consciousness alterations and motor impairment [ 4 ].

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Additionally, the pathology of animal tissues was studied by the the hematoxylin and eosin method, viral antigens were detected by immunochemistry, and all collected viscera showed histopathological changes. Large amounts of ILHV antigens were detected by immunohistochemistry in the brain, and in lower quantities in the liver, spleen and kidneys, corroborating with newborn viral titers in them. This inoculum resulted in a fatal outcome of all infected animals seven days after experimentation. Viral antigens were not found in the heart and lungs, suggesting that the viral titers obtained were caused by viremia and not by viral damage. The information in this study confirms the neurotropism and neuropathogenicity of ILHV. After the first viral isolate was obtained in , many other isolates from patients with fever, mosquitoes and a variety of animals, particularly wild birds and bats, were obtained in Brazil, Colombia, Panama, Argentina and Trinidad8,11,12,19,

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