Locally Acquired Eastern Equine Encephalitis Virus Disease, Arkansas, USA
Locally Acquired Eastern Equine Encephalitis Virus Disease, Arkansas, USA
Locally Acquired Eastern Equine Encephalitis Virus Disease, Arkansas, USA
2216 Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 22, No. 12, December 2016
LETTERS
For those who develop EEEV disease, supportive care Address for correspondence: Stephen M. Schexnayder, University of
is currently the only treatment option. Elevated intracranial Arkansas for Medical Sciences, College of Medicine, Section of Critical
pressure should be watched for, monitored, and aggres- Care Medicine, Arkansas Children’s Hospital, 1 Children’s Way, S-4415,
sively managed. Hyperosmolar therapy, external ventricu- Little Rock, AR 72202, USA; email: SchexnayderSM@uams.edu
lar drain placement, cooling, sedation, and paralysis have
been used in the management of elevated intracranial pres-
sure for other conditions and have been used with varying
degrees of success in treating EEEV disease (9,10). Fur-
ther research regarding the management of EEEV disease Tick-Borne Relapsing Fever,
is needed. Southern Spain, 2004–2015
Acknowledgments
We thank Marc Fischer and the Arbovirus Diagnostics Luis Castilla-Guerra,1 Jorge Marín-Martín,1
Laboratory of the CDC, Charles Glasier, and other Arkansas Miguel Angel Colmenero-Camacho
clinicians and public health officials who were involved in the Author affiliations: Hospital Universitario Virgen Macarena,
care of this patient and in investigation of this case. Seville, Spain (L. Castilla-Guerra, M.A. Colmenero-Camacho);
Universidad de Sevilla, Seville (L. Castilla-Guerra,
The findings and conclusions in this report are those of the
M.A. Colmenero-Camacho); Hospital de la Merced, Seville
authors and do not necessarily represent the official position of
(J. Marín-Martín)
the Centers for Disease Control and Prevention or the Arkansas
Department of Health. DOI: http://dx.doi.org/10.3201/eid2212.160870
Emerging Infectious Diseases • www.cdc.gov/eid • Vol. 22, No. 12, December 2016 2217