Fatal Infection with Murray Valley Encephalitis Virus Imported from Australia to Canada, 2011
Daniel J. Niven, Kevin Afra, Mircea Iftinca, Raymond Tellier, Kevin Fonseca, Andreas Kramer, David Safronetz, Kimberly Holloway, Michael Drebot, and Andrew S. Johnson
Author affiliations: University of Calgary, Calgary, Alberta, Canada (D.J. Niven, M. Iftinca, R. Tellier, K. Fonseca, A. Kramer, A.S. Johnson); Fraser Health Authority, Surrey, British Columbia, Canada (K. Afra); Provincial Laboratory for Public Health, Calgary (R. Tellier, K. Fonseca); Public Health Agency of Canada, Winnipeg, Manitoba, Canada (D. Safronetz, K. Holloway, M. Drebot)
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Figure 1
Figure 1. Neuroimaging during course of illness for a patient with a fatal infection of Murray Valley encephalitis virus imported from Australia to Canada, 2011. Each image corresponds to an axial cross-section through the thalamus and basal ganglia. A) Computed tomography (CT) at day 3. B) Magnetic resonance imaging (T2 flipped attenuation inversion recovery sequence) at day 3 showing abnormalities in the posterior thalami and splenium of the corpus callosum. C) CT when a fixed, dilated, right pupil (day 8) developed in the patient showing marked thalamic hypo-density and obstructive hydrocephalus. D) CT before death (day 10) showing necrosis of both thalami and a dilated left lateral ventricle.
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