Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management

Powassan virus (POWV), a rare flavivirus that may be transmitted by a tick bite, causes rare but severe cases of encephalitis, meningitis, and meningoencephalitis in humans. We present the case of a 62-year-old man with prior Lyme disease and reactive arthritis who presented to the hospital with sym...

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Autores principales: Pach, Jolanta J, Zubair, Adeel S, Traner, Christopher, Falcone, Guido J, Dewey, Jeffrey J
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Neurology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378285/
https://www.ncbi.nlm.nih.gov/pubmed/34430178
http://dx.doi.org/10.7759/cureus.16592
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author Pach, Jolanta J
Zubair, Adeel S
Traner, Christopher
Falcone, Guido J
Dewey, Jeffrey J
author_facet Pach, Jolanta J
Zubair, Adeel S
Traner, Christopher
Falcone, Guido J
Dewey, Jeffrey J
author_sort Pach, Jolanta J
collection PubMed
description Powassan virus (POWV), a rare flavivirus that may be transmitted by a tick bite, causes rare but severe cases of encephalitis, meningitis, and meningoencephalitis in humans. We present the case of a 62-year-old man with prior Lyme disease and reactive arthritis who presented to the hospital with symptoms of fever, headache, and fatigue. The patient developed rapid deterioration of mental status including profound expressive aphasia and required intubation and high-dose steroids. Cerebrospinal fluid (CSF) serologies were found to be positive for the POWV.
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spelling pubmed-83782852021-08-23 Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management Pach, Jolanta J Zubair, Adeel S Traner, Christopher Falcone, Guido J Dewey, Jeffrey J Cureus Neurology Powassan virus (POWV), a rare flavivirus that may be transmitted by a tick bite, causes rare but severe cases of encephalitis, meningitis, and meningoencephalitis in humans. We present the case of a 62-year-old man with prior Lyme disease and reactive arthritis who presented to the hospital with symptoms of fever, headache, and fatigue. The patient developed rapid deterioration of mental status including profound expressive aphasia and required intubation and high-dose steroids. Cerebrospinal fluid (CSF) serologies were found to be positive for the POWV. Cureus 2021-07-23 /pmc/articles/PMC8378285/ /pubmed/34430178 http://dx.doi.org/10.7759/cureus.16592 Text en Copyright © 2021, Pach et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Neurology
Pach, Jolanta J
Zubair, Adeel S
Traner, Christopher
Falcone, Guido J
Dewey, Jeffrey J
Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title_full Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title_fullStr Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title_full_unstemmed Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title_short Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management
title_sort powassan meningoencephalitis: a case report highlighting diagnosis and management
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8378285/
https://www.ncbi.nlm.nih.gov/pubmed/34430178
http://dx.doi.org/10.7759/cureus.16592
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AT falconeguidoj powassanmeningoencephalitisacasereporthighlightingdiagnosisandmanagement
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