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Japanese encephalitis (JE) is the leading cause of viral encephalitis in Asia, with up to 70,000 cases reported annually. Case-fatality rates range from 0.3% to 60% and depend on the population and age. Rare outbreaks in U.S. territories in the Western Pacific have also occurred.
Encephalitis can also occur following a bacterial infection, such as Lyme disease (carried by ticks), tuberculosis and syphilis, and by parasites, such as toxoplasmosis (carried by cats). Another cause of encephalitis is an autoimmune reaction, when the body's own immune system attacks the brain tissues.ncephalitis often is preceded by a viral illness, such as an upper respiratory infection, or a gastrointestinal problem, such as diarrhea, nausea, or vomiting. The following are the most common symptoms of encephalitis. However, each child may experience symptoms differently. Symptoms may include: