West nile virus differential diagnosis: Difference between revisions

Revision as of 20:09, 10 September 2014

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

Overview

West nile fever must be differentiated from other diseases that cause, fever, skin rash, myalgias, and back pain, such as: . Severe west nile virus infection must be differentiated from other diseases that cause severe headache, altered mental status, seizures, and paralysis, such as: herpes virus encephalitis, enterovirus encephalitis, bacterial encephalitis, metabolic encephalitis, poliomyelitis, and Guillain-Barre syndrome.

Differential Diagnosis

West Nile Fever


Differential Diagnosis

Severe West Nile Virus Infection


West Nile Virus Presentation	Differential Diagnosis

West Nile Virus Encephalitis	Herpes simple virus encephalitis, Enterovirus encephalitis
West Nile Virus Meningitis
West Nile Virus Flaccid Paralysis	Acute poliomyelitis, Guillain-Barre syndrome,

References

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-! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Disease}}
+! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|West Nile Virus Presentation}}
-! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Findings}}
+! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Differential Diagnosis}}
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-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[HSV encephalitis]]
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |West Nile Virus Encephalitis
-| style="padding: 5px 5px; background: #F5F5F5;" | [[Headache]], [[fever]], history of [[herpes virus]] infection
+| style="padding: 5px 5px; background: #F5F5F5;" | Herpes simple virus encephalitis, Enterovirus encephalitis
 |-
-| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Enterovirus encephalitis
+| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |West Nile Virus Meningitis
-| style="padding: 5px 5px; background: #F5F5F5;" |Encephalitis symptoms associated with [[sore throat]], [[diarrhea]], [[skin rash]], and [[altered mental status]].
+| style="padding: 5px 5px; background: #F5F5F5;" |
-|-
-| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Metabolic and toxic encephalopathy
-| style="padding: 5px 5px; background: #F5F5F5;" | The majority of patients present with [[altered mental status]], additional findings include signs of [[uremia]], [[electrolyte]] disturbances, and history of drug intake or overdose.
-|-
-| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |[[Bacterial encephalitis]]
-| style="padding: 5px 5px; background: #F5F5F5;" |Patients present with altered mental status, toxic-appearance, [[fever]], [[CSF]] findings will include high level of [[neutrophils]], high [[protein]] and low [[glucose]] levels.
-|-
-| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |[[Guillain-Barré syndrome]]
-| style="padding: 5px 5px; background: #F5F5F5;" |Often presents with distal, ascending, symmetrical [[paralysis]] with abolished [[reflexes]], and it is associated with a recent viral or bacterial [[gastroenteritis]].
 |-
-| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Acute [[Poliomyelitis]]
+| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |West Nile Virus Flaccid Paralysis
-| style="padding: 5px 5px; background: #F5F5F5;" | Patients may present with [[flaccid paralysis]]
+| style="padding: 5px 5px; background: #F5F5F5;" | Acute poliomyelitis, Guillain-Barre syndrome,
 |}