Autor: |
M Y, Chowers, R, Lang, F, Nassar, D, Ben-David, M, Giladi, E, Rubinshtein, A, Itzhaki, J, Mishal, Y, Siegman-Igra, R, Kitzes, N, Pick, Z, Landau, D, Wolf, H, Bin, E, Mendelson, S D, Pitlik, M, Weinberger |
Rok vydání: |
2001 |
Předmět: |
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Zdroj: |
Emerging Infectious Diseases |
ISSN: |
1080-6040 |
Popis: |
West Nile (WN) virus is endemic in Israel. The last reported outbreak had occurred in 1981. From August to October 2000, a large-scale epidemic of WN fever occurred in Israel; 417 cases were confirmed, with 326 hospitalizations. The main clinical presentations were encephalitis (57.9%), febrile disease (24.4%), and meningitis (15.9%). Within the study group, 33 (14.1%) hospitalized patients died. Mortality was higher among patients >70 years (29.3%). On multivariate regressional analysis, independent predictors of death were age >70 years (odds ratio [OR] 7.7), change in level of consciousness (OR 9.0), and anemia (OR 2.7). In contrast to prior reports, WN fever appears to be a severe illness with high rate of central nervous system involvement and a particularly grim outcome in the elderly. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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