Case 1 let's think about how the host changes the test: in a non-immune compromised host with concern for West Nile Virus, as CSF IgM is the test of choice. NOT PCR as CSF viral replication is often not detectable at the time of presentation https://t.…
4/ 🧪Dx:🩸or CSF WNV-specific IgM 📌After WNV acquired, viremia x~10d➡️detectable in CSF x2-3d (when sxs develop) 📌IgM usu detectable 3-8d after onset of illness, persist 30-90d 📌If serum collected w/i 8d of illness onset, absence of IgM does not r/o d…
@FralickMike Also one of the handful of entities that can cause bilateral thalamic lesions! https://t.co/IfwEpfiysf
こんな経過を辿りうるんだな... 知らないと, 神経内科に入院して, VCM, CTRX, ABPC, ACVいって, 効かないからステロイド投与して...わけわからないまま亡くなって...という経過になりそう... Case 34-2017 — A 76-Year-Old Man with Fever, Weight Loss, and Weakness | NEJ…