Clinical Investigation of Hospitalized Human Cases of West Nile Virus Infection in Houston, Texas, 2002-2004
The objective of this study was to describe the clinical features of cases hospitalized with West Nile virus (WNV) infections and identify clinical parameters that could potentially predict poor outcome (death). Retrospective medical chart reviews were completed for 172 confirmed cases of WNV infect...
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| Veröffentlicht in: | Vector borne and zoonotic diseases (Larchmont, N.Y.) N.Y.), 2008-04, Vol.8 (2), p.167-174 |
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| container_title | Vector borne and zoonotic diseases (Larchmont, N.Y.) |
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| creator | Murray, Kristy O. Baraniuk, S. Resnick, M. Arafat, R. Kilborn, C. Shallenberger, R. York, T.L. Martinez, D. Malkoff, M. Elgawley, N. McNeely, W. Khuwaja, S.A. |
| description | The objective of this study was to describe the clinical features of cases hospitalized with West Nile virus (WNV) infections and identify clinical parameters that could potentially predict poor outcome (death). Retrospective medical chart reviews were completed for 172 confirmed cases of WNV infection hospitalized in the Houston, Texas, metropolitan area between 2002 and 2004. Of the 172 patients, 113 had encephalitis which resulted in 17 deaths, 47 had meningitis, and 12 had uncomplicated fever. Risk factors associated with progression from encephalitis to death were absence of pleocytosis in the cerebrospinal fluid, renal insufficiency, requiring intubation and mechanical ventilation, presence of myoclonus or tremors, and loss of consciousness. These findings can aid physicians in evaluating their patients suspected of WNV infection and determining outcomes in their patients with confirmed WNV neuroinvasive disease. |
| doi_str_mv | 10.1089/vbz.2007.0109 |
| format | Article |
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Retrospective medical chart reviews were completed for 172 confirmed cases of WNV infection hospitalized in the Houston, Texas, metropolitan area between 2002 and 2004. Of the 172 patients, 113 had encephalitis which resulted in 17 deaths, 47 had meningitis, and 12 had uncomplicated fever. Risk factors associated with progression from encephalitis to death were absence of pleocytosis in the cerebrospinal fluid, renal insufficiency, requiring intubation and mechanical ventilation, presence of myoclonus or tremors, and loss of consciousness. These findings can aid physicians in evaluating their patients suspected of WNV infection and determining outcomes in their patients with confirmed WNV neuroinvasive disease.</description><identifier>ISSN: 1530-3667</identifier><identifier>EISSN: 1557-7759</identifier><identifier>DOI: 10.1089/vbz.2007.0109</identifier><identifier>PMID: 18399781</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc</publisher><subject>Acyclovir - therapeutic use ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Antiviral Agents - therapeutic use ; Causes of ; Child ; Child, Preschool ; Diagnosis ; Distribution ; Female ; Health aspects ; Hospitalization ; Humans ; Infant ; Male ; Middle Aged ; Original Papers ; Prevalence studies (Epidemiology) ; Retrospective Studies ; Risk Factors ; Texas - epidemiology ; West Nile fever ; West Nile Fever - drug therapy ; West Nile Fever - epidemiology ; West Nile Fever - mortality ; West Nile Fever - pathology ; West Nile virus</subject><ispartof>Vector borne and zoonotic diseases (Larchmont, N.Y.), 2008-04, Vol.8 (2), p.167-174</ispartof><rights>Mary Ann Liebert, Inc.</rights><rights>COPYRIGHT 2008 Mary Ann Liebert, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-931692d8fc3bdefb06903dbc6674e583211fdfe41e6ff7a53e65be0877e684c3</citedby><cites>FETCH-LOGICAL-c398t-931692d8fc3bdefb06903dbc6674e583211fdfe41e6ff7a53e65be0877e684c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18399781$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murray, Kristy O.</creatorcontrib><creatorcontrib>Baraniuk, S.</creatorcontrib><creatorcontrib>Resnick, M.</creatorcontrib><creatorcontrib>Arafat, R.</creatorcontrib><creatorcontrib>Kilborn, C.</creatorcontrib><creatorcontrib>Shallenberger, R.</creatorcontrib><creatorcontrib>York, T.L.</creatorcontrib><creatorcontrib>Martinez, D.</creatorcontrib><creatorcontrib>Malkoff, M.</creatorcontrib><creatorcontrib>Elgawley, N.</creatorcontrib><creatorcontrib>McNeely, W.</creatorcontrib><creatorcontrib>Khuwaja, S.A.</creatorcontrib><title>Clinical Investigation of Hospitalized Human Cases of West Nile Virus Infection in Houston, Texas, 2002-2004</title><title>Vector borne and zoonotic diseases (Larchmont, N.Y.)</title><addtitle>Vector Borne Zoonotic Dis</addtitle><description>The objective of this study was to describe the clinical features of cases hospitalized with West Nile virus (WNV) infections and identify clinical parameters that could potentially predict poor outcome (death). Retrospective medical chart reviews were completed for 172 confirmed cases of WNV infection hospitalized in the Houston, Texas, metropolitan area between 2002 and 2004. Of the 172 patients, 113 had encephalitis which resulted in 17 deaths, 47 had meningitis, and 12 had uncomplicated fever. Risk factors associated with progression from encephalitis to death were absence of pleocytosis in the cerebrospinal fluid, renal insufficiency, requiring intubation and mechanical ventilation, presence of myoclonus or tremors, and loss of consciousness. These findings can aid physicians in evaluating their patients suspected of WNV infection and determining outcomes in their patients with confirmed WNV neuroinvasive disease.</description><subject>Acyclovir - therapeutic use</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Antiviral Agents - therapeutic use</subject><subject>Causes of</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Diagnosis</subject><subject>Distribution</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Infant</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original Papers</subject><subject>Prevalence studies (Epidemiology)</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Texas - epidemiology</subject><subject>West Nile fever</subject><subject>West Nile Fever - drug therapy</subject><subject>West Nile Fever - epidemiology</subject><subject>West Nile Fever - mortality</subject><subject>West Nile Fever - pathology</subject><subject>West Nile virus</subject><issn>1530-3667</issn><issn>1557-7759</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtv1DAUhS0EoqWwZIu8YjUZ_Ihfy2oEnUoVbEawtBznujJynCFOqtJfj9MZwRJZurauv3N17IPQe0q2lGjz6aF72jJC1JZQYl6gSyqEapQS5uV65qThUqoL9KaUn4Qwqql4jS6o5sYoTS9R2qWYo3cJ3-YHKHO8d3McMx4D3o_lGGeX4hP0eL8MLuOdK1DWux8VxV9jAvw9Tkup4gD-WRhzFS5lHvMGH-DRlQ2u9lhTS_sWvQouFXh33q_Q4cvnw27f3H27ud1d3zWeGz03hlNpWK-D510PoSPSEN53vj6kBaE5ozT0AVoKMgTlBAcpOiBaKZC69fwKfTyNPU7jr6U6tUMsHlJyGao1Kw2V0rTqvyAjXGouVnB7Au9dAhtzGOfJ-bp6GKIfM4T6FfaaMakZU0xUQXMS-GksZYJgj1Mc3PTbUmLX3GzNza652TW3yn84O1m6Afp_9DmoCmxOwNp2OacIHUzzX_A8TlttqVT8D17Robo</recordid><startdate>20080401</startdate><enddate>20080401</enddate><creator>Murray, Kristy O.</creator><creator>Baraniuk, S.</creator><creator>Resnick, M.</creator><creator>Arafat, R.</creator><creator>Kilborn, C.</creator><creator>Shallenberger, R.</creator><creator>York, T.L.</creator><creator>Martinez, D.</creator><creator>Malkoff, M.</creator><creator>Elgawley, N.</creator><creator>McNeely, W.</creator><creator>Khuwaja, S.A.</creator><general>Mary Ann Liebert, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>20080401</creationdate><title>Clinical Investigation of Hospitalized Human Cases of West Nile Virus Infection in Houston, Texas, 2002-2004</title><author>Murray, Kristy O. ; 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Retrospective medical chart reviews were completed for 172 confirmed cases of WNV infection hospitalized in the Houston, Texas, metropolitan area between 2002 and 2004. Of the 172 patients, 113 had encephalitis which resulted in 17 deaths, 47 had meningitis, and 12 had uncomplicated fever. Risk factors associated with progression from encephalitis to death were absence of pleocytosis in the cerebrospinal fluid, renal insufficiency, requiring intubation and mechanical ventilation, presence of myoclonus or tremors, and loss of consciousness. These findings can aid physicians in evaluating their patients suspected of WNV infection and determining outcomes in their patients with confirmed WNV neuroinvasive disease.</abstract><cop>United States</cop><pub>Mary Ann Liebert, Inc</pub><pmid>18399781</pmid><doi>10.1089/vbz.2007.0109</doi><tpages>8</tpages></addata></record> |
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| ispartof | Vector borne and zoonotic diseases (Larchmont, N.Y.), 2008-04, Vol.8 (2), p.167-174 |
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| subjects | Acyclovir - therapeutic use Adolescent Adult Aged Aged, 80 and over Anti-Bacterial Agents - therapeutic use Antiviral Agents - therapeutic use Causes of Child Child, Preschool Diagnosis Distribution Female Health aspects Hospitalization Humans Infant Male Middle Aged Original Papers Prevalence studies (Epidemiology) Retrospective Studies Risk Factors Texas - epidemiology West Nile fever West Nile Fever - drug therapy West Nile Fever - epidemiology West Nile Fever - mortality West Nile Fever - pathology West Nile virus |
| title | Clinical Investigation of Hospitalized Human Cases of West Nile Virus Infection in Houston, Texas, 2002-2004 |
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