Symptoms
of West Nile Virus
Q.
What are the symptoms of West Nile virus (WNV) infection?
A. Infection with
WNV can be asymptomtic (no symptoms), or can lead to West
Nile fever or severe West Nile disease.
It
is estimated that about 20% of people who become infected with
WNV will develop West Nile fever. Symptoms include
fever, headache, tiredness, and body aches, occasionally with
a skin rash (on the trunk of the body) and swollen lymph glands.
While the illness can be as short as a few days, even healthy
people have reported being sick for several weeks.
The
symptoms of severe disease (also called neuroinvasive
disease, such as West Nile encephalitis
or meningitis or West Nile poliomyelitis)
include headache, high fever, neck stiffness, stupor, disorientation,
coma, tremors, convulsions, muscle weakness, and paralysis. It
is estimated that approximately 1 in 150 persons infected with
the West Nile virus will develop a more severe form of disease.
Serious illness can occur in people of any age, however people
over age 50 and some immunocompromised persons (for example, transplant
patients) are at the highest risk for getting severely ill when
infected with WNV.
Most
people (about 4 out of 5) who are infected with West Nile
virus will not develop any type of illness (an asymptomatic infection),
however you cannot know ahead of time if you'll get sick or not
when infected.
Q.
What is the incubation period in humans (i.e., time from infection
to onset of disease symptoms) for West Nile disease?
A. Usually 2 to 15 days.
Q.
How long do symptoms last?
A. Symptoms of West Nile fever will generally
last a few days, although even some healthy people report having
the illness last for several weeks. The symptoms of severe disease
(encephalitis or meningitis) may last several weeks, although
neurological effects may be permanent.
Q.
What is meant by West Nile encephalitis, West Nile meningitis,
West Nile poliomyelitis, “neuroinvasive disease” and
West Nile fever?
A.
The most severe type of disease due to a person being
infected with West Nile virus is sometimes called “neuroinvasive
disease,” because it affects a person's nervous system.
Specific types of neuroinvasive disease include: West Nile encephalitis,
West Nile meningitis, West Nile meningoencephalitis and West Nile
poliomyelitis. Encephalitis refers to an inflammation of the brain,
meningitis is an inflammation of the membrane around the brain
and the spinal cord, meningoencephalitis refers to inflammation
of the brain and the membrane surrounding it, and poliomyelitis
refers to an inflammation of the spinal cord.
West
Nile Fever is another type of illness that can occur in people
who become infected with the virus. It is characterized by fever,
headache, tiredness, aches and sometimes rash. Although the illness
can be as short as a few days, even healthy people have been sick
for several weeks.
Q.
If I have West Nile Fever, can it turn into West Nile
encephalitis?
A. When someone is infected with West Nile virus (WNV)
they will typically have one of three outcomes: No symptoms (most
likely), West Nile fever (WNF in about 20% of people) or severe
West Nile disease, such as meningitis or encephalitis (less than
1% of those who get infected). If you develop a high fever
with severe headache, consult your health care provider.
West
Nile fever is characterized by symptoms such as fever, body aches,
headache and sometimes swollen lymph glands and rash. West Nile
fever generally lasts only a few days, though in some cases symptoms
have been reported to last longer, even up to several weeks. West
Nile fever does not appear to cause any permanent health effects.
There is no specific treatment for WNV infection. People with
West Nile fever recover on their own, though symptoms can be relieved
through various treatments (such as medication for headache and
body aches, etc.).
Some
people may develop a brief, WNF-like illness (early symptoms)
before they develop more severe disease, though the percentage
of patients in whom this occurs is not known.
Occasionally,
an infected person may develop more severe disease such as “West
Nile encephalitis,” “West Nile meningitis” or
“West Nile meningoencephalitis.” Encephalitis refers
to an inflammation of the brain, meningitis is an inflammation
of the membrane around the brain and the spinal cord, and meningoencephalitis
refers to inflammation of the brain and the membrane surrounding
it. Although there is no treatment for WNV infection itself, the
person with severe disease often needs to be hospitalized. Care
may involve nursing IV fluids, respiratory support, and prevention
of secondary infections.
Additional
Information:
Home
West Nile Virus and Dead Birds
West Nile Virus, Pregnancy and Breast-Feeding
West Nile Virus Is A Risk You Can Do Something
About With A Few Simple Steps.
Cases of West Nile Human Disease
West Nile Virus and Dogs and Cats
West Nile Virus: Information and Guidance
for Clinicians
Insect Repellent Use and Safety
Symptoms of West Nile Virus
Testing and Treating West Nile
Virus in Humans
Blood Transfusion, Organ Donation and
Blood Donation Screening Information
Transmission of the West Nile Virus