Table 1. Clinical features and laboratory findings for the 5 patients with neurological manifestations.
| Serum analysis | CSF analysis | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Patient ID | Age (yr) /sex | Clinical classifi-cation* | Date of sample collection (mo-yr) | Clinical features | WBC (x103/mm) | Hematocrit (%) | platelet count (x103/mm) | WBC (x103/mm) | Protein (mg/dl) | Glucose (mg/dl) | CSF/blood sugar ratio (%) |
| 1 | 24/M | SD | Jun-17 | fever, muscle and joint pain, pain in eye socket, nausea, headache, vomiting, rash, irritability, lethargy, photophobia, neck stiffness, alternation of mental status, encephalitis | 2.7 | 35.7 | 47.8 | 15 | 67 | 124 | 97 |
| (80% neutrophils, 20% lymphocytes) | |||||||||||
| 2 | 19/F | SD | Aug-17 | flushing, gum bleeding, headache, vomiting, free fluid in abdomen/pelvis, abdominal pain, liver enlargement, photophobia, irritability, confusion, loss of consciousness, respiratory failure, generalized fits, encephalitis | 2.3 | 36.7 | 37.9 | 119 | 92.8 | - | - |
| 3 | 17/M | SD | Jul-17 | fever, muscle and joint pain, pain in eye socket, nausea, headache, vomiting, irritability, neck stiffness, alternation of mental status, encephalitis | 5.8 | 27.8 | 67.7 | 246 | 61.7 | 97.8 | 86.5 |
| (11% neutrophils, 89% lymphocytes) | |||||||||||
| 4 | 7/F | SD | Jun-17 | fever, muscle and joint pain, pain in eye socket, nausea, headache, vomiting, irritability, alternation of mental status, encephalitis | 3.8 | 29.9 | 113.9 | 42 | 42.1 | 132.1 | 78.9 |
| (83% neutrophils, 17%lymphocytes) | |||||||||||
| 5 | 10/F | SD | Nov-17 | fever, muscle and joint pain, pain in eye socket, nausea, headache, vomiting, liver enlargement, photophobia, irritability, confusion, alternation of mental status, encephalitis | 4.7 | 36.5 | 77.9 | 8 | 104 | 78.9 | 72 |
| (100% lymphocytes) | |||||||||||
* Clinical classification according to WHO 2009 criteria.