Encephalitis is rare in the United States; about
20,000 cases are reported every year.1
Outbreaks can occur, causing the number of cases to be much higher,
but these are uncommon in the U.S. However, in 2002, an outbreak of
mosquito-borne West Nile virus in the U.S. caused numerous infections and
deaths. Still, far more people who have
West Nile virus develop mild or no symptoms rather than
encephalitis.
The number of cases caused by mosquito-borne viruses varies by
location throughout the world. In the United States, mosquito-borne
encephalitis (such as St. Louis encephalitis, La Crosse encephalitis, and West
Nile encephalitis) is rare. Tick-borne viral encephalitis is even rarer.
Infection with the
rabies virus can cause encephalitis and is almost
always fatal if it is not treated before symptoms develop.
People who have
impaired immune systems, especially those with AIDS
(acquired immunodeficiency syndrome), are at increased risk of developing
encephalitis from
cytomegalovirus,
toxoplasmosis, and other infections.