Monitoring

  • Monitor patients with VEEV infection and neurological involvement for the development of seizures.

  • If bleeding is present, check the haemoglobin or haematocrit regularly.

  • If a patient is being treated with anticonvulsants, closely monitor the blood level of these drugs, to ensure that therapeutic levels are achieved.

  • Anticipate and treat elevated intracranial pressure, in order to prevent brain herniation and death.

  • Monitor pregnant women carefully, because of the reported association between maternal VEEV infection and stillbirth or spontaneous abortion.[32]

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