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A Rare Case of West Nile Virus Neuroinvasive Disea ...
A Rare Case of West Nile Virus Neuroinvasive Disease in an Urban Setting
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Pdf Summary
The document appears to be a brief educational note focused on West Nile virus (WNV), with references to national data, clinical history, and learning objectives. It emphasizes that WNV is a mosquito-borne illness whose incidence and geographic spread are increasing, likely influenced by rising temperatures and climate change.<br /><br />Key clinical guidance includes:<br />- If WNV is suspected, order a serum WNV IgM antibody test using MAC-ELISA.<br />- In patients with neurologic symptoms, perform a lumbar puncture to test cerebrospinal fluid for WNV IgM antibody.<br />- Treatment is mainly supportive, but rare cases can progress to neuroinvasive disease.<br /><br />The document also highlights the value of earlier diagnosis, noting that it can improve antibiotic stewardship, reduce unnecessary treatments, and shorten hospital stays. It references CDC data and several studies on WNV outbreaks, meteorologic associations, neurologic outcomes, and the effects of climate change on vector-borne disease.<br /><br />The opening note “Unremarkable, no active tooth infection” suggests a clinical exam finding, but the main content is centered on WNV diagnosis, public health trends, and management.
Asset Subtitle
Ari M. Fish
Meta Tag
Author List
Adrian Majid, Ari M. Fish, Aveena Kochar
Category
Clinical Vignettes
Concept
West Nile Virus
Concept
WNV IgM Antibody
Concept
Neurologic Symptoms
Concept
Supportive Therapy
Concept
Vector-Borne Disease
Distinguished
Non-Finalist
Presenter Organization
Icahn School of Medicine at Mount Sinai
Presenting Author
Ari M. Fish
Track
Adult
Keywords
West Nile virus
WNV
mosquito-borne illness
IgM antibody testing
MAC-ELISA
lumbar puncture
cerebrospinal fluid
neuroinvasive disease
climate change
supportive treatment
West Nile Virus
WNV IgM Antibody
Neurologic Symptoms
Supportive Therapy
Vector-Borne Disease
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