Volume 7, Number 4—August 2001
THEME ISSUE
West Nile Virus
West Nile Virus
Clinical Findings of West Nile Virus Infection in Hospitalized Patients, New York and New Jersey, 2000
Table 2
Test | Number tested (%) | Mean value or N with condition (range) | Normal values (2) |
---|---|---|---|
CSF | |||
Leukocyte count, mean | 19 (100) | 308 mm3 (0-1782) | 0-5 cells/mm3 |
Red cell count, mean | 16 (84) | 115/mm3 (0-700) | 0 cells/mm3 |
Protein, mean | 19 (100) | 111 mg/dL (56-555) | 15-50 mg/dL |
Glucose, mean | 19 (100) | 67 mg/dL (48-95) | 50-80 mg/dL |
Differential,a >50% neutrophils | 15 (79) | 9 (1-100%) | All mononuclear cells |
Complete blood cell count | |||
Leukocyte count, mean | 19 (100) | 10,600/mm3 (4,400-19,700) | 4,500-11,000/mm3 |
Differential cell count,a >77% segs + bands | 18 (95) | 11 (55-96%) | 59% ± 18 |
Hemoglobin (male), mean | 11 (100) | 14.5 g/dL (11.8-16.5) | 15.5 g/dL ± 1.1 |
Hemoglobin (female), mean | 8 (100) | 12.7 g/dL (10.5-14.6) | 13.7 g/dL ± 1.0 |
Other laboratory | |||
Hyponatremia, serum Na <135 mmol/L | 19(100) | 8 (42%) | 135-145 mmol/L |
Elevated AST, >twice upper limit | 17 (90) | 4 (24%) | 10-35 units/L |
Elevated ALT, >twice upper limit | 15 (79) | 1 (7%) | 20-48 units/L |
Elevated total bilirubin, >twice upper limit | 16 (84) | 3 (19%) | 0.3-1.0 mg/dL |
aValues are the number of patients with the laboratory finding; ranges are the values of all patients.
CSF = cerebrospinal fluid; AST = aspartate aminotransferase; ALT = alanine aminotransferase; segs = segmented neutrophils.
References
- Centers for Disease Control and Prevention. National West Nile Virus Surveillance System, 2000: Final Plan, May 2000, Atlanta, GA. [document online] Available from url: http://www.cdc.ncidod/dvbid/westnile/resources/WN_Final_Plan_2000_05_26_31.pdf
- Jacobs DS, DeMott WR, Grady HJ, Horvat RT, Huestis DW, Kasten BL. Laboratory test handbook. Cleveland: Lexi-comp, Inc; 1996.
- Fajardo JE, Stafford EM, Bass JW, Roscelli JD, Sato AK. Claybaugh. Inappropriate antidiuretic hormone in children with viral meningitis. Pediatr Neurol. 1989;5:37–40. DOIPubMedGoogle Scholar
- White MG, Carter NW, Rector FC, Seldin DW, Drewey SJ, Sanford JP, Pathophysiology of epidemic St. Louis encephalitis. Inappropriate secretion of antidiuretic hormone. Ann Intern Med. 1969;71:691–702.PubMedGoogle Scholar
- Cernescu C, Ruta SM, Tardei G, Grancea C, Moldoveanu L, Spulbar E, A high number of severe neurologic clinical forms during an epidemic of West Nile infection. Rom J Virol. 1997;48:13–25.PubMedGoogle Scholar
- Komar N, Panella NA, Burns J, Disza S, Mascarenhas TM, Talbot TO. Serologic evidence for West Nile virus infection in birds in the New York City vicinity during an outbreak in 1999. Emerg Infect Dis. 2001;7:621–5. DOIPubMedGoogle Scholar
- Tsai TF, Popovici F, Cernescu C, Campbell GI, Nedeclu I; Investigative Team. West Nile encephalitis epidemic in southern Romania. Lancet. 1998;352:767–71. DOIPubMedGoogle Scholar
- Ceausu EM, Erscoiu S, Calistru P, Ispar D, Doroboat O, Homos M. Clinical manifestations in West Nile virus outbreak. Rom J Virol. 1997;48:3–11.PubMedGoogle Scholar
- Marfin AA, Bleed DM, Lofgren JP, Olin AC, Savage HM, Smith GC, Epidemiologic aspects of a St. Louis encephalitis epidemic in Jefferson County Arkansas, 1991. Am J Trop Med Hyg. 1993;49:30–7.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Serosurveys for West Nile virus infection--New York and Connecticut Counties, 2000. MMWR Morb Mortal Wkly Rep. 2001;50:37–9.PubMedGoogle Scholar
- Centers for Disease Control and Prevention. Update: West Nile virus activity--Eastern United States, 2000. MMWR Morb Mortal Wkly Rep. 2001;49:1044–7.
1A. Labowitz, J.A. Greenko, B. Maldin, B. Edwin, I. Poshni, A. Fine, New York City Department of Health; R. Lanciotti, Centers for Disease Control and Prevention; F. Sorhage, C. Farello, D. Adam, B. Wolf, New Jersey Department of Health and Senior Services; A Dupius, L. Kramer, New York State Department of Health.
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