Abstract • A healthy young man developed acute anterior myelitis resembling the "polio syndrome." He had visited an area (the Gulf of Suez) in which West Nile fever is endemic prior to his illness. The course of his febrile illness, the spinal fluid findings, and complement fixation antibody titers established the diagnosis of West Nile fever. Meningoencephalitis is a serious, and previously the only known, complication of this usually benign febrile illness. This is the first report, to our knowledge, of another neurological complication, namely acute anterior myelitis. References 1. Spigland I, Jasinska-Klingberg W, Hofshi E, et al: Clinical and laboratory observations in an outbreak of West-Nile fever in Israel . J Isr Med Assoc 54:275-281, 1958. 2. Pruzanski W, Altman R: Encephalitis due to West Nile fever virus . World Neurol 3:525-527, 1962. 3. Baker AB, Baker LH: Clinical Neurology . Hagerstown, Md, Harper & Row Publishers, 1975, Vol 2. 4. Kohn D, Schonfeld S, Zikel G: West Nile fever with meningeal involvement . Harefuah 85:316-317, 1973. 5. Manuelidis EE: Neuropathology of experimental West Nile virus infection in monkeys . J Neuropathol Exp Neurol 15:448-460, 1956.Crossref 6. Camenga DL, Nathanson N, Cole GA: Cyclophosphamide potentiated West Nile virus encephalitis: Relative influence of cellular and humoral factors . J Infect Dis 130:634-641, 1974.Crossref
Archives of Neurology – American Medical Association
Published: Mar 1, 1979
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