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Acute transverse myelitis in West Nile Virus, a rare neurological presentation
- Source :
- IDCases, IDCases, Vol 24, Iss, Pp e01104-(2021)
- Publication Year :
- 2021
- Publisher :
- Elsevier BV, 2021.
-
Abstract
- Highlights • West Nile Virus can lead to various neurological presentation. • It is important to identify Acute Transverse Myelitis with the help of imaging. • It should be in our differentials in patients presenting with muscular weakness in endemic regions.<br />Introduction West Nile Virus varies in presentation from asymptomatic to a febrile illness often associated with malaise, weakness and maculopapular rash. West Nile neuro-invasive disease often manifests as meningitis, encephalitis, and less commonly acute flaccid paralysis in a "polio-like" presentation. Acute transverse myelitis (ATM) is a rare manifestation. We present a case of neuro-invasive West Nile Virus infection with radiographic evidence of longitudinally extensive transverse myelitis (LETM), a subset of ATM, Case narration A 42-year-old male from Massachusetts presented with progressive asymmetric paralysis of 4 days duration after developing a prodrome of fever, neck stiffness and urinary retention. Physical examination demonstrated asymmetric lower extremity weakness Lumbar puncture revealed lymphocytic pleocytosis with normal protein and glucose and a positive West Nile IgM in CSF (4.89, reference
- Subjects :
- 0301 basic medicine
Pediatrics
medicine.medical_specialty
Flaccid paralysis
viruses
Transverse myelitis
030106 microbiology
Lymphocytic pleocytosis
Case Report
Infectious and parasitic diseases
RC109-216
03 medical and health sciences
0302 clinical medicine
Paralysis
West Nile Virus
Medicine
030212 general & internal medicine
business.industry
food and beverages
virus diseases
Meningoencephalitis
medicine.disease
nervous system diseases
Infectious Diseases
Acute Transverse Myelitis
medicine.symptom
business
Meningitis
Encephalitis
Subjects
Details
- ISSN :
- 22142509
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- IDCases
- Accession number :
- edsair.doi.dedup.....aa587be9c6ef9c1e1e3dd9797fa2cbd3