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Published on: April 26, 2018
West Nile virus infection in the pediatric population
Rachel Civen1, Ferlie Villacorte, David T Robles
1County of Los Angeles Department of Health Services, Public Health, Acute Communicable Diseases Control Program, Los Angeles, CA 90012, USA. rciven@dhs.co.la.ca.us
Insights
In 2004, 11 Los Angeles children got West Nile virus (WNV). Most had WNV fever, with symptoms like fever and rash lasting about a week. Early diagnosis and reporting are key for managing WNV cases.
Area of Science:
- Pediatric infectious diseases
- Arboviral disease surveillance
- Public health epidemiology
Background:
- West Nile virus (WNV) is a mosquito-borne illness with potential for severe neurological complications.
- Children represent a vulnerable population susceptible to WNV infection.
- Understanding WNV epidemiology in pediatric populations is crucial for public health interventions.
Purpose of the Study:
- To describe the clinical characteristics and outcomes of symptomatic West Nile virus infections in children.
- To highlight the importance of clinician awareness and prompt diagnosis of WNV in pediatric cases.
- To emphasize the role of public health reporting in WNV surveillance.
Main Methods:
- Retrospective case review of symptomatic West Nile virus infections in children under 18 years of age.
- Analysis of clinical presentations, symptoms, and illness duration.
- Data collection from Los Angeles County health records for the year 2004.
Main Results:
- Eleven pediatric cases of symptomatic WNV infection were confirmed in Los Angeles County in 2004.
- The majority of cases (8/11) presented with WNV fever; 2 had meningitis and 1 had encephalitis.
- Common symptoms included fever, rash, nausea, and vomiting, with a median illness duration of 7 days.
Conclusions:
- West Nile virus can cause significant illness in children, ranging from fever to severe neurological conditions.
- Clinicians must maintain a high index of suspicion for WNV in children presenting with relevant symptoms.
- Prompt diagnosis and reporting of suspected WNV cases are essential for effective public health surveillance and control efforts.
Abstract:
In 2004, Los Angeles County confirmed 11 cases of symptomatic West Nile virus (WNV) infections in children younger than 18 years of age. Eight had WNV fever, 2 had meningitis and 1 had encephalitis. Fever, rash, nausea and vomiting were the most prominent symptoms at presentation; median duration of illness was 7 days. Clinicians should be aware of the risk of WNV illness, confirm this diagnosis and report suspected WNV cases to their local health department.
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