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West Nile virus infection presenting as acute flaccid paralysis in an HIV-infected patient: a case report and review of the literature.

Torno M, Vollmer M, Beck CK

Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, CA, USA. Mauro_Torno@longbeach.gov

We describe a case of West Nile virus (WNV) infection in an HIV-infected patient who presented with an isolated flaccid monoparesis of the right upper extremity. To our knowledge, this is the first reported case of flaccid paralysis caused by WNV infection in an HIV-infected patient. We then review the medical literature on WNV infection occurring among patients who are infected with HIV. Unlike most of the cases reported in the literature, our patient had partial recovery of his neurologic deficits.

Published 13 February 2007 in Neurology, 68(7): E5-7.
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