Rare ocular manifestation in a case of West Nile virus meningoencephalitis.

Abstract:

:West Nile Virus (WNV) is an arthropod-borne flavivirus, which causes flu-like illness and is sporadically associated with encephalitis. Transmission to humans occurs following a bite from an infected mosquito, which acquires the virus after feeding on dead birds. WNV meningoencephalitis is a rare infection with a neuroinvasive disease occurring in less than 1% of the cases, with varied presentations including aseptic meningitis, meningoencephalitis, and acute flaccid paralysis. Chorioretinitis is the most common eye finding in this infection, while other ocular manifestations have been rarely reported in the literature. We present the first case report of WNV meningoencephalitis, with rare ocular manifestations of acute hemorrhagic conjunctivitis, bilateral subconjunctival hemorrhages, and nystagmus. The rare ocular findings of acute hemorrhagic conjunctivitis, bilateral subconjunctival hemorrhages, and nystagmus diagnosed in our case can guide clinicians toward early diagnosis of WNV meningoencephalitis, while serologic testing is still pending.

journal_name

Ann Indian Acad Neurol

authors

Malhotra K,Ramanathan RS,Synowiec A,Rana S

doi

10.4103/0972-2327.128564

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

95-6

issue

1

eissn

0972-2327

issn

1998-3549

pii

AIAN-17-95

journal_volume

17

pub_type

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