St. Louis Encephalitis
Condition
Definition
St. Louis encephalitis is an infection spread by a mosquito bite. The disease can be mild, severe, or even deadly.
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Causes
St. Louis encephalitis is caused by a virus. It is spread to humans from the bite of an infected mosquito. The virus is not spread from person to person.
Risk Factors
St. Louis encephalitis is more common in older adults. It is also more common in people living in or visiting the southern, central, or western United States, especially during the summer and fall.
Symptoms
Some people may not have symptoms of St. Louis encephalitis. Others may have a wide range of problems, such as:
- Fever
- Headache
- Stiff neck
- Lightheadedness
- Nausea
- Weakness
- Uncontrolled body movements
- Confusion
- A loss in alertness
- coma
Diagnosis
The doctor will ask about symptoms and past health. A physical exam will be done.
Blood tests will be done to look for signs of infection.
Treatment
There is no specific treatment for St. Louis encephalitis. Treatment depends on how severe the disease is. The goal is to manage symptoms. Options are:
- Pain relievers
- Anti-nausea medicine
- Fluids—by mouth or IV
- Breathing support
Prevention
The risk of St. Louis encephalitis can be lowered by taking steps to avoid mosquito bites, such as:
- Using insect repellent
- Wearing long-sleeved shirts and pants that have been treated with insect repellent
- Taking steps to control mosquitos indoors and outdoors, such as with screens and netting and by emptying any containers that may contain water where mosquitos could breed
Centers for Disease Control and Prevention
National Institute of Allergy and Infectious Diseases
CANADIAN RESOURCES:
Health Canada
Infection Prevention and Control Canada
Centers for Disease Control and Prevention
National Institute of Allergy and Infectious Diseases
CANADIAN RESOURCES:
Health Canada
Infection Prevention and Control Canada
References
- Curren EJ, Lindsey NP, et al. St. Louis encephalitis virus disease in the United States, 2003-2017. Am J Trop Med Hyg. 2018;99(4):1074-1079.
- Measurement of St. Louis encephalitis virus antibody. EBSCO DynaMed website. Available at: https://www.dynamed.com/lab-monograph/measurement-of-st-louis-encephalitis-virus-antibody.
- Mosquito avoidance. EBSCO DynaMed website. Available at: https://www.dynamed.com/prevention/mosquito-avoidance.
- St. Louis encephalitis virus. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/sle.
Contributors
- David L. Horn, MD, FACP
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