Eastern equine XXXX : a classical case.

@entity1 @entity1641 @entity198 @entity3082 @entity5422 @entity16 @entity51 @entity204 @entity221 @entity2753
We present the case of a 40-year-old @entity1 with rapidly deteriorating acute @entity5422 , finally diagnosed as eastern equine @entity198 (EEE). The course and timing in this @entity1 are quite characteristic. EEE is an arthropod @entity221 in which the mosquito serves as the vector. It is amongst the most severe of the @entity3082 and has a high mortality and morbidity. In nonfatal cases, residual @entity51 are often severe and permanent. North American lineage of EEE is mainly found in the northeast especially along the coastal areas. EEE is primarily found in @entity1641 and other domestic mammals that remain outdoors nocturnally. In @entity1 , symptoms range from nonspecific constitutional features to catastrophic @entity16 including @entity204 . @entity2753 and increased cerebrospinal fluid (CSF) white blood cell count are independent predictors of poor outcomes. Diagnosis is suggestive by demonstrating IgM antibody in blood or CSF samples and can be confirmed by other serologic assay including immunohistochemistry and polymerase chain reaction (PCR). Measures recommended by the Center for Disease Control (CDC) for prevention include using repellents, protective clothing, screens, and eradication of mosquito breeding areas. EEE remains without cure and prevention is the best medicine.
