Severe complications besides acute respiratory distress syndrome ( ARDS) include hepatitis, renal failure, meningo-
encephalitis and myocarditits with shock occurring in varying proportions of patients.
Bacterial meningitis is a serious form of meningo-
encephalitis that causes inflammation of meninges of the brain, particularly the arachnoid and piamater.
One child who presented with meningo-
encephalitis and fever of 107oF had Mollaret meningitis and was treated with acyclovir for 14 days even though his CSF HSV PCR was negative.
The last epidemic of yellow fever in North America occurred in New Orleans in 1905 (more than 3000 cases with 452 deaths); last urban epidemic in the Americas was in Trinidad Clinical Signs in Flavivirus Animals Transmission Tick-borne flaviviruses Tick-borne * Dogs develop * CEE is acquired by encephalitis clinical signs of Ixodes ricinus virus (TBE meningo-
* RSSE is acquired complex) encephalitis.