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West Nile Virus Disease > Hospitalization Author: Amy V. Bode, MD, MSPH; James J. Sejvar, MD; Anthony A. Marfin, MD, MPH
Editorial changes - 2008-08-28
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Rationale:

  • Hospitalization is required for intravenous fluid and electrolyte management, ventilatory assistance, management of cerebral edema, and observation and treatment of seizures.

Evidence:

  • Diffuse involvement by WNV of the lower brainstem and high cervical spinal cord may result in diaphragmatic and intercostal muscle paralysis and subsequent neuromuscular respiratory failure requiring emergent endotracheal intubation. Patients developing early dysarthria and dysphagia are at greater risk for subsequent respiratory failure (41).

Comments:

  • None.
FAQs
Amy V. Bode, MD, MSPH has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Anthony A. Marfin, MD, MPH has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. Carrie Nielsen, PhD, editorial consultant, has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations. James J. Sejvar, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.

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