West Nile Virus | Diagnosis & Treatment

How is West Nile Virus diagnosed?

To determine a child’s risk of having a West Nile virus infection, the doctor will observe their symptoms and ask about exposure to mosquitos.

A diagnosis of West Nile virus can be confirmed using blood tests. Someone who is infected with West Nile virus will have an increased level of antibodies against the disease. Antibodies are proteins produced by the immune system that attack foreign substances such as viruses, bacteria and other harmful organisms. Elevated levels of antibodies signal that your immune system is fighting the infection by producing a surplus of antibodies.  

If encephalitis is suspected, the following procedures may be used as to confirm the diagnosis:

  • Lumbar puncture (spinal tap): During a spinal tap, a special needle is placed into the lower back and a small amount of cerebral spinal fluid is removed. This fluid sample is sent for testing to determine if a child has West Nile virus or other problems.
  • Electroencephalogram (EEG) An EEG works by recording the brain's continuous electrical activity using stickers attached to the scalp that measure electrical activity. The purpose of an EEG is to see if your child is having small brain seizures that are not visible from the outside.
  • Magnetic resonance imaging (MRI): An MRI takes detailed X-ray images of the brain that can help detect brain inflammation.

How is West Nile virus treated?

There is currently no vaccine for human the West Nile disease. Antibiotics are not an effective course of treatment since they only fight bacterial infections, and the West Nile disease is caused by a virus. However, over-the-counter (OTC) medications, such as acetaminophen, can be used to relieve symptoms such as fever and headaches.

There are also supportive therapies for children who have developed encephalitisas as result of West Nile virus infection. Except for very mild cases, most children with encephalitis will need to be treated at a hospital. Doctors will carefully monitor the child's blood pressure, heart rate and breathing to prevent further brain inflammation from occurring. Medications a child might receive include corticosteroids to reduce brain swelling and anticonvulsants to prevent or control seizures.

With the right care, most children with encephalitis make a full recovery.

How do you prevent West Nile virus?

Avoiding mosquito bites is the easiest and most effective way to prevent West Nile virus in children. The steps you can take to protect your child include:

  • Wear long-sleeved shirts and pants that cover your skin, especially in the evenings when there are more mosquitoes around.
  • Don't hang out near puddles or other pools of standing water like gutters or wading pools—they are common breeding grounds for mosquitoes. 
  • Get rid of mosquito breeding sites by emptying standing water in flower pots, buckets, old tires, etc.If you find a dead bird, don't touch it with your bare hands or try to move it. Let your parents know so they can contact your local health department right away

Using insect repellent is the easiest and most effective way to avoid mosquito bites. The American Academy of Pediatrics (AAP) recommends DEET (usually listed on labels as N, N-diethyl-m-toluamide) as the best repellant against ticks and mosquitos.Products with up to 30 percent DEET are safe to use on children 2 months of age and older, although experts from the AAP do not recommend using it in infants less than 2 months old. DEET should also not be applied to the face or hands of young children.

The Environmental Protection Agency (EPA) offers these additional tips for applying insect repellants:

  • Don't use insect repellent on skin that is already covered by clothing.
  • Do not apply repellant directly onto a child's face. Instead, spray the repellent in your hands first and then gently rub it on, avoiding the eyes and mouth. 
  • Avoid spraying repellent on your child's hands, since she could put them in her mouth or eyes.
  • Wash repellent off once you get back indoors.
  • Don't use repellent on areas of the skin that are irritated or cut.
  • Stop using a repellent if it gives you a rash or other skin reaction, wash it off and call the doctor.