Supportive
No studies to support ribavirin, interferon, gamma globulin, steroids, anticonvulsants, or osmotic agents
4- 18% fatality
Older age greatest risk for death
Risk for poor neuro outcome and death- encephalitis, severe muscle weakness, AMS, DM, immune suppression
Can have significant morbidity and loss of function even in those patients that survive and are discharged to home
Parkinsons, tremor, gait instability, balance problems are most common neuro findings after discharge to home
Initial severe encephalopathy did not mean poor neuro outcome
Acute flaccid paralysis typically has very poor recovery
West Nile virus
Meningitis
Zika virus
SAH
Heartland virus
Lyme disease
Hantavirus
Brain abscess