A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario
West Nile neuroinvasive disease is a severe infectious disease that is associated with a high mortality rate, especially in immunocompromised hosts. Physicians who are aware of its clinical presentations may be able to order diagnostic tests more appropriately and avoid inappropriate treatment. In t...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Online Access: | http://dx.doi.org/10.1155/2014/626783 |
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| author | Lei Jiao Cheryl Main |
| author_facet | Lei Jiao Cheryl Main |
| author_sort | Lei Jiao |
| collection | DOAJ |
| description | West Nile neuroinvasive disease is a severe infectious disease that is associated with a high mortality rate, especially in immunocompromised hosts. Physicians who are aware of its clinical presentations may be able to order diagnostic tests more appropriately and avoid inappropriate treatment. In the present series, the cases of seven patients admitted to Hamilton Health Sciences (Hamilton, Ontario) in the summer of 2012 with a diagnosis of West Nile neuroinvasive disease were retrospectively reviewed based on available medical records. According to the clinical and laboratory criteria published by the Centers for Disease Control and Prevention, five cases were diagnosed as encephalitis, one case as meningitis and one case as meningomyelitis. Patients were managed supportively. Forty-three percent (three of seven) presented with rash, 71% (five of seven) did not report headache despite exhibiting neurological symptoms, 43% (three of seven) did not have fever on presentation and 37.5% of cerebrospinal fluid samples exhibited a neutrophil predominance. The mortality rate in the present series was 14.3% (one of seven), and 57.1% (four of seven) of the patients had residual symptoms on discharge and at follow-up. |
| format | Article |
| id | doaj-art-670571880d43484b93c689514cc6ac47 |
| institution | Kabale University |
| issn | 1712-9532 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Infectious Diseases and Medical Microbiology |
| spelling | doaj-art-670571880d43484b93c689514cc6ac472025-02-03T01:31:17ZengWileyCanadian Journal of Infectious Diseases and Medical Microbiology1712-95322014-01-01251242610.1155/2014/626783A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, OntarioLei Jiao0Cheryl Main1Medical Microbiology Postgraduate Training Program;, CanadaPathology and Molecular Medicine, Director of Medical Microbiology Postgraduate Training Program, Faculty of Medicine, McMaster University, Hamilton, Ontario, CanadaWest Nile neuroinvasive disease is a severe infectious disease that is associated with a high mortality rate, especially in immunocompromised hosts. Physicians who are aware of its clinical presentations may be able to order diagnostic tests more appropriately and avoid inappropriate treatment. In the present series, the cases of seven patients admitted to Hamilton Health Sciences (Hamilton, Ontario) in the summer of 2012 with a diagnosis of West Nile neuroinvasive disease were retrospectively reviewed based on available medical records. According to the clinical and laboratory criteria published by the Centers for Disease Control and Prevention, five cases were diagnosed as encephalitis, one case as meningitis and one case as meningomyelitis. Patients were managed supportively. Forty-three percent (three of seven) presented with rash, 71% (five of seven) did not report headache despite exhibiting neurological symptoms, 43% (three of seven) did not have fever on presentation and 37.5% of cerebrospinal fluid samples exhibited a neutrophil predominance. The mortality rate in the present series was 14.3% (one of seven), and 57.1% (four of seven) of the patients had residual symptoms on discharge and at follow-up.http://dx.doi.org/10.1155/2014/626783 |
| spellingShingle | Lei Jiao Cheryl Main A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario Canadian Journal of Infectious Diseases and Medical Microbiology |
| title | A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario |
| title_full | A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario |
| title_fullStr | A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario |
| title_full_unstemmed | A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario |
| title_short | A Brief Report of West Nile Virus Neuroinvasive Disease in the Summer of 2012 in Hamilton, Ontario |
| title_sort | brief report of west nile virus neuroinvasive disease in the summer of 2012 in hamilton ontario |
| url | http://dx.doi.org/10.1155/2014/626783 |
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