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West Nile Virus Encephalitis in a Patient with Neuroendocrine Carcinoma
Joint Authors
Deldar, Romina
Thomas, Derek
Storniolo, Anna Maria
Source
Case Reports in Oncological Medicine
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-07-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Importance.
Oftentimes, when patients with metastatic cancer present with acute encephalopathy, it is suspected to be secondary to their underlying malignancy.
However, there are multiple causes of delirium such as central nervous system (CNS) infections, electrolyte abnormalities, and drug adverse reactions.
Because West Nile Virus (WNV) neuroinvasive disease has a high mortality rate in immunosuppressed patients, a high index of suspicion is required in patients who present with fever, altered mental status, and other neurological symptoms.
Observations.
Our case report details a single patient with brain metastases who presented with unexplained fever, encephalopathy, and new-onset tremors.
Initially, it was assumed that his symptoms were due to his underlying malignancy or seizures.
However, because his unexplained fevers persisted, lumbar puncture was pursued.
Cerebrospinal fluid analysis included WNV polymerase chain reaction and serologies were ordered which eventually led to diagnosis of WNV encephalitis.
Conclusions and Relevance.
Patients with metastatic cancer who present with encephalopathy are often evaluated with assumption that malignancy is the underlying etiology.
This can lead to delays in diagnosis and possible mistreatment.
Our case highlights the importance of maintaining a broad differential diagnosis and an important diagnostic consideration of WNV encephalitis in patients with cancer.
American Psychological Association (APA)
Deldar, Romina& Thomas, Derek& Storniolo, Anna Maria. 2016. West Nile Virus Encephalitis in a Patient with Neuroendocrine Carcinoma. Case Reports in Oncological Medicine،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101751
Modern Language Association (MLA)
Deldar, Romina…[et al.]. West Nile Virus Encephalitis in a Patient with Neuroendocrine Carcinoma. Case Reports in Oncological Medicine No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1101751
American Medical Association (AMA)
Deldar, Romina& Thomas, Derek& Storniolo, Anna Maria. West Nile Virus Encephalitis in a Patient with Neuroendocrine Carcinoma. Case Reports in Oncological Medicine. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1101751
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1101751