|
|
WEST NILE VIRUS - ISRAEL (NORTH DISTRICT)
********************************
A ProMED-mail post
<http://www.promedmail.org>
ProMED-mail is a program of the
International Society for Infectious Diseases
<http://www.isid.org>
Date: Wed 5 Sep 2007
From: Raul Raz, Bibiana Chazan <raz_r@clalit.org.il>
4 cases of West Nile virus (WNV) encephalitis were diagnosed at the
Ha' Emek Medical Center, Afula [North District], Israel
During the last 3 weeks, 4 inhabitants of the Afula surroundings were
hospitalized due to fever, headache, confusional state, and stupor.
These inhabitants included 2 females (58 and 64 years old) and 2
males (40 and 66 years old). [Of these,] 2 were immunocompromised
(one with colon carcinoma after chemotherapy, and the 2nd after
kidney transplantation); one suffered from diabetes mellitus type 2,
and the last was a healthy patient. One of them recalls a mosquito
bite one week before the fever started.
After hospitalization, a complete work-up was done: CT (computerized
tomography) and EEG (electroencephalography) did not show
abnormalities. Lumbar puncture was compatible with viral
encephalitis; Gram stain, spinal fluid cultures, and PCR [polymerase
chain reaction] for herpes simplex virus [HSV] were negative. All of
them received empirical treatment with Acyclovir IV... Because of a
more severe clinical presentation, the kidney transplant patient
received IVIG (intravenous immunoglobulin -- 0.5 g/kg/day for 4 days).
The diagnosis of WNV was confirmed by seroconversion in serum and CSF
(cerebrospinal fluid) samples. [Seroconversion means that there were
no WN antibodies in serum or CSF taken during the acute phase of
illness, but they were present in those fluids taken during
convalescence. - Mod.JW]
All the patients completely recovered and were discharged without
neurological signs or symptoms.
--
Prof. Raul Raz
Dr. Bibiana Chazan
Infectious Disease Unit
Ha 'Emek Medical Center
Afula, Israel
<raz_r@clalit.org.il>
[ProMED-mail thanks Prof. Raul Raz and Dr. Bibiana Chazan for this
report. Israel has sporadic human West Nile virus cases. - Mod.TY
Afula, south of Nazareth, in the Northern District of Israel, can be
located on the map at
<http://www.un.org/Depts/Cartographic/map/profile/israel.pdf>. - CopyEd.MJ]
[see also:
2005
----
West Nile virus, human - Israel 20050731.2228
West Nile virus, birds, migratory - Israel (02) 20050205.0391
West Nile virus, birds, migratory - Israel 20050203.0377
2003
----
West Nile virus, human - Israel 20030712.1712
2002
----
West Nile virus, human - Israel (03) 20021021.5616
West Nile virus, human - Israel (02) 20020924.5389
West Nile virus, human - Israel 20020816.5065
West Nile virus, mosquitoes - Israel (04) 20020801.4910
West Nile virus, mosquitoes - Israel (03) 20020719.4796
West Nile virus, mosquitoes - Israel (02) 20020520.4276
West Nile virus, mosquitoes - Israel 20020516.4234
2001
----
West Nile virus, human - Israel 20010802.1510
2000
----
West Nile virus, human cases - Israel (08) 20000927.1667
West Nile virus, human case - Israel 20000901.1469
1999
----
West Nile virus, geese - Israel (02) 19991208.2132
West Nile virus, geese - Israel 19991123.2076]
........................................dk/ty/mj/jw
*##########################################################*
************************************************************
ProMED-mail makes every effort to verify the reports that
are posted, but the accuracy and completeness of the
information, and of any statements or opinions based
thereon, are not guaranteed. The reader assumes all risks in
using information posted or archived by ProMED-mail. ISID
and its associated service providers shall not be held
responsible for errors or omissions or held liable for any
damages incurred as a result of use or reliance upon posted
or archived material.
************************************************************
Become a ProMED-mail Premium Subscriber at
<http://www.isid.org/ProMEDMail_Premium.shtml>
************************************************************
Visit ProMED-mail's web site at <http://www.promedmail.org>.
Send all items for posting to: promed@promedmail.org
(NOT to an individual moderator). If you do not give your
full name and affiliation, it may not be posted. Send
commands to subscribe/unsubscribe, get archives, help,
etc. to: majordomo@promedmail.org. For assistance from a
human being send mail to: owner-promed@promedmail.org.
############################################################
############################################################
|