Occupation-Associated Fatal Limbic Encephalitis Caused by Variegated Squirrel Bornavirus 1, Germany, 2013
Dennis Tappe
, Kore Schlottau, Daniel Cadar, Bernd Hoffmann, Lorenz Balke, Burkhard Bewig, Donata Hoffmann, Philip Eisermann, Helmut Fickenscher, Andi Krumbholz, Helmut Laufs, Monika Huhndorf, Maria Rosenthal, Walter Schulz-Schaeffer, Gabriele Ismer, Sven-Kevin Hotop, Mark Brönstrup, Anthonina Ott, Jonas Schmidt-Chanasit
1, and Martin Beer
1
Author affiliations: Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany (D. Tappe, D. Cadar, P. Eisermann, M. Rosenthal, J. Schmidt-Chanasit); Friedrich-Loeffler-Institut, Greifswald-Insel Riems, Germany (K. Schlottau, B. Hoffmann, D. Hoffmann, M. Beer); University Medical Center Schleswig-Holstein, Kiel, Germany (L. Balke, B. Bewig, H. Laufs, M. Huhndorf); Christian-Albrecht University of Kiel and University Medical Center, Kiel (H. Fickenscher, A. Krumbholz); Saarland University Medical Center, Homburg, Germany (W. Schulz-Schaeffer); Zoological Garden, Schleswig-Holstein, Germany (G. Ismer); Helmholtz Centre for Infection Research and German Centre for Infection Research, Braunschweig, Germany (S.-K. Hotop, M. Brönstrup); Euroimmun AG, Lübeck, Germany (A. Ott); German Centre for Infection Research, Hamburg (J. Schmidt-Chanasit)
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Figure 3
Figure 3. Immunohistochemical and histologic slides of brain of patient who died of limbic encephalitis caused by variegated squirrel bornavirus 1 (VSBV-1), Germany, 2013. Immunohistochemistry of viral antigen in subcortical areas of the brain was performed by using a polyclonal antiserum against VSBV-1 N protein. Viral antigen was present in neurons and glial cells in nuclei and cytoplasm. A) Substantia nigra. Immunoperoxidase stain with hematoxylin counterstain; original magnification ×200. B) Striatum. Immunoperoxidase stain with hematoxylin counterstain; original magnification ×200. C) Subcortical area next to the hypothalamus. Immunoperoxidase stain with hematoxylin counterstain; original magnification ×200. D) Subcortical area next to the hippocampus. Immunoperoxidase stain with hematoxylin counterstain; original magnification ×400. E) Intranuclear eosinophilic inclusion body resembling a bornavirus-like Joest-Degen body (arrow). Hematoxylin and eosin stain; original magnification ×600.
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