We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Neurologic Manifestations and Outcome of West Nile Virus Infection.
- Authors
Sejvar, James J.; Haddad, Maryam B.; Tierney, Bruce C.; Campbell, Grant L.; Marfin, Anthony A.; Van Gerpen, Jay A.; Fleischauer, Aaron; Leis, A. Arturo; Stokic, Dobrivoje S.; Petersen, Lyle R.
- Abstract
Context: The neurologic manifestations, laboratory findings, and outcome of patients with West Nile virus (WNV) infection have not been prospectively characterized. Objective: To describe prospectively the clinical and laboratory features and long-term outcome of patients with neurologic manifestations of WNV infection. Design, Setting, and Participants: From August 1 to September 2, 2002, a community-based, prospective case series was conducted in St Tammany Parish, La. Standardized clinical data were collected on patients with suspected WNV infection. Confirmed WNV-seropositive patients were reassessed at 8 months. Main Outcome Measures: Clinical, neurologic, and laboratory features at initial presentation, and long-term neurologic outcome. Results: Sixteen (37%) of 39 suspected cases had antibodies against WNV; 5 had meningitis, 8 had encephalitis, and 3 had poliomyelitis-like acute flaccid paralysis. Movement disorders, including tremor (15 [94%]), myoclonus (5 [31%]), and parkinsonism (11 [69%]), were common among WNV-seropositive patients. One patient died. At 8-month follow-up, fatigue, headache, and myalgias were persistent symptoms; gait and movement disorders persisted in 6 patients. Patients with WNV meningitis or encephalitis had favorable outcomes, although patients with acute flaccid paralysis did not recover limb strength. Conclusions: Movement disorders, including tremor, myoclonus, and parkinsonism, may be present during acute illness with WNV infection. Some patients with WNV infection and meningitis or encephalitis ultimately may have good long-term outcome, although an irreversible poliomyelitis-like syndrome may result.
- Subjects
LOUISIANA; UNITED States; WEST Nile virus; PARKINSON'S disease; POLIO; ENCEPHALITIS; MENINGITIS; CENTRAL nervous system diseases; NEUROLOGIC manifestations of general diseases
- Publication
JAMA: Journal of the American Medical Association, 2003, Vol 290, Issue 4, p511
- ISSN
0098-7484
- Publication type
Article
- DOI
10.1001/jama.290.4.511