Neuroinvasive disease due to West Nile virus: clinical and imaging findings associated with a re-emerging pathogen.

Enfermedad neuroinvasiva por el virus del Nilo Occidental: características clínicas y en neuroimagen de un patógeno reemergente.
Computed tomography Encefalitis Encephalitis Magnetic resonance imaging Resonancia magnética Tomografía computarizada Virus del Nilo Occidental West Nile virus

Journal

Radiologia
ISSN: 2173-5107
Titre abrégé: Radiologia (Engl Ed)
Pays: Spain
ID NLM: 101770876

Informations de publication

Date de publication:
26 Jul 2021
Historique:
received: 12 12 2020
revised: 10 05 2021
accepted: 21 06 2021
entrez: 30 7 2021
pubmed: 31 7 2021
medline: 31 7 2021
Statut: aheadofprint

Résumé

The West Nile virus (WNV) is an arbovirus than can infect human beings and cause severe neuroinvasive disease. Taking the outbreak that occurred in Spain in 2020 as a reference, this article reviews the clinical and imaging findings for neuroinvasive disease due to WNV. We collected demographic, clinical, laboratory, and imaging (CT and MRI) variables for 30 patients with WNV infection diagnosed at our center. The main clinical findings were fever, headache, and altered levels of consciousness. Neuroimaging studies, especially MRI, are very useful in the diagnosis and follow-up of these patients. The most common imaging findings were foci of increased signal intensity in the thalamus and brainstem in T2-weighted sequences; we illustrate these findings in cases from our hospital.

Identifiants

pubmed: 34325916
pii: S0033-8338(21)00114-4
doi: 10.1016/j.rx.2021.06.003
pii:
doi:

Types de publication

Journal Article

Langues

eng spa

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2021 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.

Auteurs

C Moreno-Reina (C)

Unidad de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: morenoreinacristina@gmail.com.

M Martínez-Moya (M)

Unidad de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, España.

P Piñero-González de la Peña (P)

Unidad de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, España.

P Caro-Domínguez (P)

Unidad de Radiodiagnóstico, Hospital Universitario Virgen del Rocío, Sevilla, España.

Classifications MeSH