West nile virus differential diagnosis: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
====West Nile Virus Encephalitis====
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Revision as of 19:24, 10 September 2014

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

Overview

West nile virus infection must be differentiated from other diseases that cause skin rash, fever, headaches, and altered mental status, such as: herpes virus encephalitis, enterovirus encephalitis, bacterial encephalitis, metabolic encephalitis, poliomyelitis,

Differential Diagnosis

West Nile Virus Encephalitis

Disease Findings
HSV encephalitis Headache, fever, history of herpes virus infection
Enterovirus encephalitis Encephalitis symptoms associated with sore throat, diarrhea, skin rash, and altered mental status.
Metabolic and toxic encephalopathy The majority of patients present with altered mental status, additional findings include signs of uremia, electrolyte disturbances, and history of drug intake or overdose.
Bacterial encephalitis Patients present with altered mental status, toxic-appearance, fever, CSF findings will include high level of neutrophils, high protein and low glucose levels.
Guillain-Barré syndrome Often presents with distal, ascending, symmetrical paralysis with abolished reflexes, and it is associated with a recent viral or bacterial gastroenteritis.
Acute Poliomyelitis Patients may present with flaccid paralysis

References


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