Table 1.
Encephalitic alphaviruses.
Venezuelan encephalitis viruses (VEEV) | Western encephalitis viruses (WEEV) | Eastern equine encephalitis viruses (EEEV) | |
---|---|---|---|
Transmission | Rodents, mosquitos (Aedes, Culex, Psorophora etc.) | Birds, mosquitos (Aedes, Culex, etc.) | Rodents/birds, mosquito (Aedes, Culiesta, etc.) |
Average incubation time | 1–5 days | 2–7 days | 3–10 days |
Initial symptoms | Asymptomatic, febrile illness | Asymptomatic, febrile illness | Asymptomatic, febrile illness |
Clinical syndrome | Encephalitis | Encephalitis | Encephalitis |
Case-fatality (%) | 1 | 3–7 | 50–75 |
Associated neurological sequelae | Convulsions, somnolence, confusion, photophobia, coma, intellectual disability, and emotional instability/behavioral changes | Confusion, visual disturbances, photophobia, seizures, somnolence, coma, intellectual disability, and emotional instability/behavioral changes, and spastic paresis | Convulsions, seizures, paralysis, intellectual disability, and behavioral changes |
% Survivors with neurological sequelae | 4–14 | 15–30 | 50–90 |