Clinical Case Presentation #1 - Dorothy Dow, MD - Duke ...

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CONSULTBased on CSF, likely viral process<strong>Clinical</strong>ly, Patient continued tohave fever up to 40 C withintermittent AMS and neckstiffness•! MRI on 8/6/2010 within normal limits•! Repeat LP on 8/6/2010wbc 27 rbc 4 10% pmn 76% lymph10% mono 3% Variable lymph 1%ependymal cellsProtein 38 Glucose 51HSV and Enterovirus PCR again negARBOVIRAL PANEL SENT•! 1:1024, REACTIVE, to LaCrossevirus IgG by IFA and IgMPOSITIVE by ELISA•! CSF (8/6/10) titer is 1:32,REACTIVE, to LaCrosse virusIgG by IFA and IgM POSITIVE byELISA•! Testing performed by THE NCSTATE LABORATORY OFPUBLIC HEALTH
Page 1 and 2: Clinical Case PresentationDorothy D
Page 3 and 4: Further History•!•!•!•!•!
Page 5: LABS•! Initiallywbc 20.6 hg 13.6
Page 9 and 10: La Crosse County, Wisconsin1960: 1
Page 11 and 12: LACE: La Crosse Encephalitis•! Pr
Page 13 and 14: Confirmed Case definitionLaboratory
Page 15 and 16: Incidence MapHaddow, Andrew. PLoS O
Page 17 and 18: Other Arbovirus•! West Nile:1 st
Page 19 and 20: In Summary•!•!•!•!La Crosse
Page 21: QUESTIONS

Clinical Case Presentation #1 - Dorothy Dow, MD - Duke ...

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