Aseptic Meningitis Epidemic during a West Nile Virus Avian Epizootic

Julian, Kathleen G.; Mullins, James A.; Olin, Annette; Peters, Heather; Nix, W. Allan; Oberste, M. Steven; Lovchik, Judith C.; Bergmann, Amy; Brechner, Ross J.; Myers, Robert A.; Marfin, Anthony A.; Campbell, Grant L.

doi:10.3201/eid0909.030068

i

Aseptic Meningitis Epidemic during a West Nile Virus Avian Epizootic

Supporting Files Public Domain

Sep 2003
By Julian, Kathleen G. ; Mullins, James A. ; Olin, Annette ; ...

File Language:

English

Details

Alternative Title:

Emerg Infect Dis
Personal Author:

Julian, Kathleen G. ; Mullins, James A. ; Olin, Annette ; Peters, Heather ; Nix, W. Allan ; Oberste, M. Steven ; Lovchik, Judith C. ; Bergmann, Amy ; Brechner, Ross J. ; Myers, Robert A. ; Marfin, Anthony A. ; Campbell, Grant L.
Description:

While enteroviruses have been the most commonly identified cause of aseptic meningitis in the United States, the role of the emerging, neurotropic West Nile virus (WNV) is not clear. In summer 2001, an aseptic meningitis epidemic occurring in an area of a WNV epizootic in Baltimore, Maryland, was investigated to determine the relative contributions of WNV and enteroviruses. A total of 113 aseptic meningitis cases with onsets from June 1 to September 30, 2001, were identified at six hospitals. WNV immunoglobulin M tests were negative for 69 patients with available specimens; however, 43 (61%) of 70 patients tested enterovirus-positive by viral culture or polymerase chain reaction. Most (76%) of the serotyped enteroviruses were echoviruses 13 and 18. Enteroviruses, including previously rarely detected echoviruses, likely caused most aseptic meningitis cases in this epidemic. No WNV meningitis cases were identified. Even in areas of WNV epizootics, enteroviruses continue to be important causative agents of aseptic meningitis.
Subjects:

Adolescent Adult Aged Animals Birds Child Child, Preschool Communicable Diseases, Emerging Disease Outbreaks Enterovirus Enterovirus Infections Female Humans Infant Infant, Newborn Male Meningitis, Aseptic Middle Aged Population Surveillance Research Serotyping West Nile Virus
Source:

Emerg Infect Dis. 9(9):1082-1088.
Document Type:

Journal Article
Place as Subject:

Baltimore, MD
Location:

North America
Volume:

9
Issue:

9
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:59bde083e87c98a75855fd872c9fb79a50f92978925ea5123f73dddaa02f5adf
Download URL:

https://stacks.cdc.gov/view/cdc/3147/cdc_3147_DS1.pdf
File Type:

[PDF - 193.14 KB ]

File Language:

English

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