ArticleInternational journal of microbiology2020
Retrospective Descriptive Analysis of West Nile Neuroinvasive Disease (WNND) in Northwest Louisiana.
Article in International journal of microbiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The first outbreak of neuroinvasive West Nile virus infection in Istanbul area within 2019.BMC infectious diseases · 2026Article
- Clinical and Diagnostic Features of West Nile Virus Neuroinvasive Disease in New York City.Pathogens (Basel, Switzerland) · 2024Article
- Identifying risks for severity of neurological symptoms in Hungarian West Nile virus patients.BMC infectious diseases · 2021Article
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Authors and funding
5 authors.
Funding
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Abstract
aimsThe aim of the study was to describe the presentation characteristics and epidemiology of WNND in Louisiana to improve future recognition of cases and decrease inappropriate antibiotic use.
resultsThe median age was 49 years (range: 15-75) for patients with WNND. Of 23 patients diagnosed with WNND, twelve (52%) were diagnosed with encephalitis (WNE), six (26%) were diagnosed with meningitis (WNM), and five (22%) with myelitis (WNME). The common symptoms with WNND were fever in 65%, altered mental status in 61%, headache in 52%, fatigue in 43%, gastrointestinal symptoms in 43%, rigors in 30%, imbalance in 26%, rash in 9%, and seizures in 26% of patients. Most patients presented in the late summer season. The average duration of antibiotics given was six days. The average number of days from the admission to the diagnosis of WNND was nine days (3 to 16 days). Twenty-one (91%) patients survived the infection.
conclusionsIdentifying WNV infection early in its clinical course would help in decreasing inappropriate antibiotic use when patients presented with fever and meningeal symptoms. Performing WNV serology in CSF studies is critical in making the diagnosis.
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