West nile virus medical therapy: Difference between revisions

Jump to navigation Jump to search
Line 4: Line 4:
==Overview==
==Overview==


==Therapies==
==Medical Therapy==
====Supportive care====
====Supportive care <small><small><small><small>Adapted from CDC<ref name="CDC">{{cite web| url=http://www.cdc.gov/westnile/healthCareProviders/healthCareProviders-TreatmentPrevention.html| Title=CDC Treatment and Prevention}}</ref></small></small></small></small>====
* There is no specific antiviral therapy indicated in patients with enterovirus 68 infection.
* There is no specific [[antiviral]] therapy indicated in patients with west nile virus infection.
* Treatment consist of supportive measurements and prevention of complications.
* Treatment consist of supportive measurements and prevention of complications.
* In severe cases, patients often need to be hospitalized to receive supportive treatment, such as intravenous fluids, pain medication, and nursing care.
* In severe cases, patients often need to be hospitalized to receive supportive treatment, such as [[intravenous fluids]], [[analgesics]], and nursing care.
*Patients with severe meningeal symptoms often require pain control for [[headaches]] and antiemetic therapy and rehydration for associated [[nausea]] and [[vomiting]].
*Patients with [[encephalitis]] require close monitoring for the development of elevated [[intracranial pressure]] and [[seizures]].
*Patients with [[encephalitis]] or [[paralysis]] should be monitored for inability to protect their airway.
*Acute neuromuscular [[respiratory failure]] may develop rapidly and prolonged ventilatory support may be required.
*Although various drugs have been evaluated or empirically used for WNV disease, none have shown specific benefit to date.
 


<!---
<!---

Revision as of 13:11, 11 September 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Medical Therapy

Supportive care Adapted from CDC[1]

  • There is no specific antiviral therapy indicated in patients with west nile virus infection.
  • Treatment consist of supportive measurements and prevention of complications.
  • In severe cases, patients often need to be hospitalized to receive supportive treatment, such as intravenous fluids, analgesics, and nursing care.
  • Patients with severe meningeal symptoms often require pain control for headaches and antiemetic therapy and rehydration for associated nausea and vomiting.
  • Patients with encephalitis require close monitoring for the development of elevated intracranial pressure and seizures.
  • Patients with encephalitis or paralysis should be monitored for inability to protect their airway.
  • Acute neuromuscular respiratory failure may develop rapidly and prolonged ventilatory support may be required.
  • Although various drugs have been evaluated or empirically used for WNV disease, none have shown specific benefit to date.


References

  1. http://www.cdc.gov/westnile/healthCareProviders/healthCareProviders-TreatmentPrevention.html. Unknown parameter |Title= ignored (|title= suggested) (help); Missing or empty |title= (help)