Highlights the need for cardiac monitoring for idioventricular rhythms and potential pacemaker intervention in patients with West Nile Encephalomyelitis.
Answers are grounded in this paper and cite their sources.
WNV encephalomyelitis may cause recurrent idioventricular rhythm requiring pacing; leaves open arrhythmia risk and need for monitoring.
Background: West nile virus (WNV), since its first appearance in the USA in 1999 has been a leading cause of viral encephalitis. There is one case report of associated fatal arrhythmia. Case: Presented is a 65 year old Hispanic male without significant past medical history presenting with West Nile Encephalomyelitis with subsequent quadriplegia and developed recurrent idioventricular rhythm requiring a permanent pacemaker. Conclusion: In the setting of West Nile Encephalomyelitis, cardiac monitoring for idioventricular rhythms and cardiac intervention should be considered.
No takes yet. Share an insight, caveat, or question.
Espinosa et al. (2016) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: