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    West Nile Virus

      Dr Sampurna Roy MD

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Infectious Disease Online

          

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West Nile virus (WNV) is an important arthropod borne flavivirus ; usually causes a mild infection called West Nile fever (WNF) in human and horses.

This virus, originally isolated from the West Nile Province of Uganda in 1937, has since been recovered from many other African countries and from Israel.

This virus is maintained naturally in wild birds and transmitted by Culex mosquitoes.

Clinical disease in man is a febrile illness with headache, myalgia, maculopapular rash, lymphadenopathy and leucopenia.

West Nile virus (WNV) may develop acute neurologic disease, which can be severe or even fatal, including WNV meningitis, encephalitis, and an irreversible acute flaccid paralysis or poliomyelitis-like syndrome.

Encephalitis is usually rare.

West Nile virus also occurs in India . The Tamilnad strain of West Nile virus was isolated in 1955 from Culex vishnui mosquitoes collected from near Vellore. But it has not been shown to be clinically important here.

           

Abstracts:

West Nile virus encephalitis acquired via liver transplantation and clinical response to intravenous immunoglobulin: case report and review of the literature.Transpl Infect Dis. 2011 Jan 16.

West nile virus: characteristics of an african virus adapting to the third millennium world.Open Virol J. 2010 Apr 22;4:42-51.

West Nile virus and its emergence in the United States of America.Vet Res. 2010 Nov-Dec;41(6):67.

West Nile virus.Clin Lab Med. 2010 Mar;30(1):47-65.

High prevalence of west nile virus: a continuing risk in acquiring infection from a mosquito bite.Vector Borne Zoonotic Dis. 2006 Winter;6(4):351-60.

West Nile virus neuroinvasive disease.Ann Neurol. 2006 Sep;60(3):286-300

West Nile virus encephalomyelitis with polio-like paralysis & nigral degeneration.Can J Neurol Sci. 2006 Nov;33(4):407-10.

Molecular epidemiology of West Nile Virus in humans.Dev Biol (Basel). 2006;126:197-201; 

Focal neurological injury caused by West Nile virus infection may occur independent of patient age and premorbid health.J Neurol Sci. 2005 Jul 15;234(1-2):93-8

An update on the potential of north American mosquitoes (Diptera: Culicidae) to transmit West Nile Virus.J Med Entomol. 2005 Jan;42(1):57-62

West Nile virus. Prevalence and significance as a zoonotic pathogen. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2004 Jul;47(7):653-60

Naturally acquired West Nile virus encephalomyelitis in transplant recipients: clinical, laboratory, diagnostic, and neuropathological features.Arch Neurol. 2004 Aug;61(8):1210-20

Epidemiology of West Nile virus in Connecticut: a five-year analysis of mosquito data 1999-2003.Vector Borne Zoonotic Dis. 2004;4(4):360-78

West Nile virus: the Indian scenario.Indian J Med Res. 2003 Sep;118:101-8

                        

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