West Nile virus (WNV) infection: management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

West Nile virus (WNV) infection: management. Mosquito-borne virus: usually Culex. Fully referenced neurology checklist.

Virology

  • Mosquito-borne virus: usually Culex
  • Reservoirs: wild and domestic birds
  • Occurs endemically or in epidemics
  • Peak incidence in Summer months

Cerebrospinal fluid (CSF) analysis

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Magnetic resonance imaging (MRI) brain

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Other investigations

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Prevention

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References

  1. Steele NP, Myssiorek D. West Nile virus induced vocal fold paralysis. Laryngoscope 2006; 116:494-496.
  2. Nash D, Mostashari F, Fine A, et al; 1999 West Nile Outbreak Response Working Group. The outbreak of West Nile virus infection in the New York City area in 1999. N Engl J Med 2001; 344:1807-1814.
  3. Sejvar JJ. Clinical manifestations and outcomes of West Nile virus infection. Viruses 2014; 6:606-623. 
  4. Petersen LR, Marfin AA. West Nile virus: a primer for the clinician. Ann Intern Med. 2002; 137:173-179.
  5. Watson CC, Wong S, Mayer SA. Teaching NeuroImage: "Panda Sign" in West Nile Encephalitis. Neurology 2024; 103:e209985. 

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