West nile virus differential diagnosis
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
West Nile fever must be differentiated from other diseases that cause fever, skin rash, myalgias, and back pain, such as other viral infections due to rhinovirus, enterovirus D68, coxsackievirus, influenza, echovirus. Patients with severe WNV infection may present with meningitis, encephalitis, or flaccid paralysis. These diseases 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
Differential diagnosis of West Nile fever
| Differential Diagnosis |
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Differential diagnosis of severe West Nile virus infection
| West Nile Virus Presentation | Differential Diagnosis[1][2] |
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| West Nile Virus Encephalitis and Meningitis | Herpes simplex virus, coxsackievirus, echovirus, other arbovirus, metabolic encephalopathy, bacterial meningitis, St. Louis encephalitis, eastern equine encephalitis virus, western equine encephalitis, Lyme disease. |
| West Nile Virus Flaccid Paralysis | Acute poliomyelitis, Guillain-Barre syndrome, stroke, myasthenia gravis |
References
- ↑ Rossi, Shannan L.; Ross, Ted M.; Evans, Jared D. (2010). "West Nile Virus". Clinics in Laboratory Medicine. 30 (1): 47–65. doi:10.1016/j.cll.2009.10.006. ISSN 0272-2712.
- ↑ T. F. Tsai (1991). "Arboviral infections in the United States". Infectious disease clinics of North America. 5 (1): 73–102. PMID 1646839. Unknown parameter
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