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Disease Information for Encephalitis, Eastern equine (Clinical Manifestations)
EASTERN EQUINE ENCEPH, Eastern Equine Encephalitides, Eastern equine encephalitis, Eastern equine encephalitis (disorder), Eastern equine encephalitis virus infection, Eastern equine encephalitis virus infection (disorder), Eastern equine encephalitis virus neuroinvasive disease, Eastern Equine Encephalomyelitides, Eastern equine encephalomyelitis, EEE, EEE Eastern equine encephal, EEE Eastern equine encephalitis, EEE infection, ENCEPH EASTERN EQUINE, Encephalitides Eastern Equine, Encephalitis eastern equine, encephalitis equine eastern, Encephalomyelitides Eastern Equine, Encephalomyelitis Eastern Equine, Equine Encephalitides Eastern, Equine Encephalitis Eastern, Equine encephalitis Eastern (EEE), Equine Encephalomyelitides Eastern, Equine Encephalomyelitis Eastern, Neuroinvasive Eastern equine encephalitis virus disease, Neuroinvasive Eastern equine encephalitis virus infection, Neuroinvasive Eastern equine encephalitis virus infection (disorder)
A form of arboviral encephalitis (primarily affecting equines) endemic to eastern regions of North America. The causative organism (ENCEPHALOMYELITIS VIRUS, EASTERN EQUINE) may be transmitted to humans via the bite of AEDES mosquitoes. Clinical manifestations include the acute onset of fever, HEADACHE, altered mentation, and SEIZURES followed by coma. The condition is fatal in up to 50% of cases. Recovery may be marked by residual neurologic deficits and EPILEPSY. (From Joynt, Clinical Neurology, 1996, Ch26, pp9-10)
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External Links Related to Encephalitis, Eastern equine
- Wikipedia
- Merck Manual
- PubMed
- National Guideline Clearinghouse
- eMedicine (medscape)
- Harrison's Online
- NEJM (The New England Journal of Medicine)
Clinical Manifestations
- Signs & Symptoms
- Paroxysmal Shivering
- Rigors/Shaking chills
- Teeth Chattering
- Uncontrollable Shaking
- Facial edema/swelling
- High blood pressure child
- High blood pressure/sign
- High blood pressure/transient/wide fluctuations
- Tachycardia/Fast heart rate
- Nausea
- Vomiting
- Excess salivation/hypersalivation
- Infant/loss of sucking response
- Sialorrhea/Ptyalism
- Muscle stiffness/rigidity
- Muscle weakness
- Stiffness in Extremities
- Abnormal movements/involuntary
- Absent focal neurologic signs/expected
- Altered mental status Mental status change
- Apathy/Indifference
- Argyl-Robertson pupil
- Ataxia
- Autonomic instability/Variable BP/HR
- Behavior problems
- Bilateral abdominal reflex decreased
- Changing neurologic signs, rapid
- Chorea signs
- Choreoathetosis
- CNS symptoms/signs
- Cognitive defect
- Confusion/agitation on exam
- Confusion/Disoriented
- Decerebrate posture
- Delirium
- Delirium/Agitated delirium
- Dizziness/Dizzy
- Drowsiness/somnolence
- Febrile seizure/children
- Flaccid muscle paralysis
- Focal neurologic deficit
- Head retraction/infant
- Headache
- Hemiplegic Gait
- Idiocy/signs
- Impaired judgement/signs
- Infant Seizures
- Irritability/short tempered
- Lethargy/torpor
- Lint picking/at bed covers sign (carphologia)
- Mental Deficiency Child
- Myoclonus/Myoclonic jerks on exam
- Newborn Poor Sucking response/reflex
- Nystagmus
- Obtunded/poorly responsive status/signs
- Papilledema on exam
- Paralysis
- Paralysis, asymmetrical
- Regressing neuromotor/skills child/signs
- Reversed/perverse sleep pattern/rhythm
- Seizures
- Seizures/Children/recurrent
- Stupor/poor reponse to stimulus
- Sudden unconsciousness
- Unconscious/Narcosis status
- Vertigo
- Irregular respirations/sign
- Rapid Breathing
- Tachypnea/Increased respiratory rate
- Destructive Behavior
- Hallucination/visual
- Queer bizarre behavior/change
- Acute sepsis syndrome
- Acutely ill patient/signs
- Chills
- Chronic Fatigue
- Collapse/Prostration
- Fatigue
- Fatigue Tiredness Exhaustion
- Fever
- Fever Febrile Possible
- Fever, high
- Flu-Like Syndrome
- High body temperature
- Hypersomnia/Increased need for sleep
- Infant peevish/irritable/fretful
- Listlessness/lassitude
- Old and Very young patients/do poorly
- Prolonged prodrome febrile illness
- Toxic and Febrile Septic
- Weakness
- Bilateral Eyelid Edema
- Blurred Optic Disk Margin
- Diplopia Double vision
- Iridoplegia/spared accomodation reflex
- Oculogyric crisis/signs
- Periorbital edema/Puffy eyes
- Photophobia/Light sensitive
- True Vertigo Sign Confirmed
- Typical Clinical Presentation
- Coma with normal Head CT Scan
- Clinical Presentation & Variations
- Disease Progression
- Course/Acute
- Course/Acute only
- Course/Lethal possible/not usual
- Course/Potentially lethal/untreated
- Course/Prodrome
- Course/Prognosis bad/usually
- Course/Some residual effects/possible
- Lethal Potential
- Signs & Symptoms
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