Abstract

Background/Purpose: The purpose of this study was to identify different treatment options available for a patient diagnosed with West Nile virus as well as to learn about prognosis and long term sequelae. The research will allow for proper development of treatment plan and patient/family education. Case Description: The patient was a 64 year old male with a recent diagnosis of diffuse large B cell lymphoma, on R-CHOP therapy who apparently had gone camping a few weeks prior to presentation. Patient then developed fever and headache on October 10, 2012. He presented to St. Vincent Hospital on 10/13/12 where he was found to have a temperature of 103°, weakness in the lower extremities and some neck stiffness. The patient was then transferred to University of New Mexico Hospital on October 19, 2012 with progressive deterioration and ascending weakness; diagnosis of West Nile Virus was made. On November 5, 2012 he was transferred to Kindred Hospital, presenting with increased tone, impaired arousal, impaired active range of motion, and impaired motor control. Outcomes: While at Kindred the patient had become medically stable and was making gradual progress towards goals. The patient continued to be dependent with all functional mobility skills but demonstrated an increase in arousal, increase in strength, and the ability to follow one step commands. The patient has been discharged from Kindred and is now undergoing treatment at a rehabilitation facility. After leaving Kindred the patients progress was not followed. Discussion: There are currently three specific interventions that have been utilized within the literature. Physical therapy interventions directed at increasing muscle performance, ROM, mobility, and overall function\xb9, a post-polio approach\xb2, and the third study suggested that rehabilitation protocols used for stroke patients could be applied to this population as well\u2078. Due to the limited research on specific interventions, articles on prognoses and functional outcomes will also be included in this case report. Articles related to prognosis will offer a better understanding of functional outcomes that have been achieved and insight into how to individualize patient care in order to maximize potential and assist in discharge planning. The most beneficial articles were those discussing outcomes and prognoses of West Nile virus. This literature provided information that described the disease in depth and allowed the awareness and knowledge needed to formulate treatment plans as well as provide education to family on expected outcomes and sequelae.

Provenance

Submitted by Dyanna Monahan (dmonahan@salud.unm.edu) on 2014-03-20T17:18:10Z No. of bitstreams: 1 vanessaGfinal.pdf: 978013 bytes, checksum: a32eee80576fe63890b81a4386547580 (MD5), Made available in DSpace on 2014-03-20T17:18:10Z (GMT). No. of bitstreams: 1 vanessaGfinal.pdf: 978013 bytes, checksum: a32eee80576fe63890b81a4386547580 (MD5)

Document Type

Capstone

Keywords

West Nile, west nile encephalitis, west nile virus, outcomes of west nile

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