Última revisão: 19 Mar 2025
Última atualização: 07 Jan 2025
Resumo
Definição
História e exame físico
Principais fatores diagnósticos
- fever of sudden onset
- malaise
- myalgia
- arthralgia
- pharyngitis
- anorexia
- abdominal pain
- visual disturbances
- headache
- rash
- lymphadenopathy
- conjunctival injection
- multifocal chorioretinal lesions
- chorioretinitis and inflammatory vitritis
- seizures
- respiratory distress
- jaundice
- epigastric tenderness
- mild confusion
- disorientation
- stupor/coma
- neck stiffness
- Kernig sign
- Brudzinski sign
- muscle paralysis
- parkinsonism
- ataxia
- myoclonus
- tremors
Detalhes completos
Outros fatores diagnósticos
- nausea/vomiting
- generalized muscle weakness
- splenomegaly
- retinal hemorrhages
- chest pain, dyspnea, palpitations
- photophobia
- depression
- loss of memory
- bowel and bladder dysfunction
- cranial nerve palsies
Detalhes completos
Fatores de risco
- living in/visiting areas with high West Nile virus activity
- mosquito bites
- blood transfusion
- organ transplant
- needlestick injuries
Detalhes completos
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- serology
- plaque reduction neutralization test
- cerebrospinal fluid (CSF) analysis
- complete blood count
- serum electrolytes
- liver function tests
- serum amylase/lipase
Detalhes completos
Investigações a serem consideradas
- MRI brain
- CT head
- reverse transcriptase-polymerase chain reaction (RT-PCR)
Detalhes completos
Algoritmo de tratamento
AGUDA
West Nile fever
West Nile neuroinvasive disease
Colaboradores
Autores
Bruce Y. Lee, MD, MBA

Professor of Health Policy and Management
Executive Director
Center for Advanced Technology and Communication for Health (CATCH)
Public Health Informatics Computational and Operation Research (PHICOR)
City University of New York (CUNY)
New York
NY
Declarações
BYL declares that he has no competing interests.
Revisores
Susan Stramer, PhD
Executive Scientific Officer
American Red Cross
Gaithersburg
MD
Declarações
SS declares that she has no competing interests.
Diagnósticos diferenciais
- Herpes simplex encephalitis
- St. Louis encephalitis
- Eastern equine encephalitis
Mais Diagnósticos diferenciaisDiretrizes
- Guidelines for West Nile virus surveillance and control
- Treatment and prevention of West Nile virus disease
Mais DiretrizesConectar-se ou assinar para acessar todo o BMJ Best Practice
O uso deste conteúdo está sujeito ao nosso aviso legal