Viral Panel PCR:
West Nile Virus Serum & CSF IgM: positive
Negative HSV, VZV, Enterovirus
DX: West Nile Encephallitis
HA + Fever + AMS: meningoencephalitis + weakness: meningomyeloencephalitis
Decreased Level of Consciousness: Diffuse cortical problem
Atypical causes: (common in Texas)
Tick-borne illnesses eg. Rickettsia, Typhus, Ehlrlichia most will have thrombocytopenia - > track PLT if low - > Doxycycline
Made with FlippingBook. PDF to flipbook with ease