Computerized tomography (CT) scan of the head and
brain. If abnormal, a pediatric neurologist should be consulted. |
Pediatric ophthalmologic evaluation, including
examination of the retina. |
Complete blood count, platelet count, and liver
function tests, including alanine aminotransferase (ALT) and aspartate
aminotransferase (AST). Examination of the CSF should be considered,
and if done, should include testing of the CSF for IgM to WNV. |
Evaluation by a dysmorphologist or clinical geneticist. |
Further evaluation of any congenital abnormalities to
determine alternative causes, including genetic, infectious, or other
teratogenic causes. |
Repeat hearing screen at age 6 months. |
Careful evaluation of head circumference, physical
characteristics, and developmental milestones throughout the first year
of life. |
Repeat examination of infant serum for IgG and IgM
antibody to WNV at age 6 months. |
Histopathologic examination of the placenta and
umbilical cord, testing of frozen placental tissue and cord tissue for
WNV nucleic acid, and testing of cord serum for IgM and IgG antibody to
WNV. |