West nile virus differential diagnosis: Difference between revisions

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==Differential Diagnosis==
==Differential Diagnosis==
The differential diagnosis of equine encephalitis includes, but is not limited to, the other arboviral encephalitides and rabies.[http://www.cdc.gov/ncidod/dvbid/westnile/resources/wnv-guidelines-aug-2003.pdf]
{| style="border: 0px; font-size: 90%; margin: 3px;" align=center
|valign=top|
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! style="background: #4479BA; width: 200px;" | {{fontcolor|#FFF|Disease}}
! style="background: #4479BA; width: 400px;" | {{fontcolor|#FFF|Findings}}
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| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |[[HSV encephalitis]]
| style="padding: 5px 5px; background: #F5F5F5;" | [[Headache]], [[fever]], history of [[herpes virus]] infection
|-
| style="padding: 5px 5px; background: #DCDCDC; font-weight: bold" |Enterovirus encephalitis
| style="padding: 5px 5px; background: #F5F5F5;" |Encephalitis symptoms associated with [[sore throat]], [[diarrhea]], [[skin rash]], and [[altered mental status]].
|-
| 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]].
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| style="padding: 5px 5px; background: #DCDCDC;font-weight: bold" |Acute [[Poliomyelitis]]
| style="padding: 5px 5px; background: #F5F5F5;" | Patients may present with [[flaccid paralysis]]
|}


==References==
==References==

Revision as of 19:00, 10 September 2014

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

Overview

Differential Diagnosis

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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