Version May 2024
| 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. |
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