Balance and gait abnormalities of a child with West Nile virus infection.
We describe a case of a previously healthy 2-year-old female patient with rash, fever and vomiting for 10 days who presented for medical attention with acute profound balance and gait disturbances and intentional movement dysmetria. West Nile virus-specific IgM and IgG antibodies were detected in the patient's cerebrospinal fluid.
Moon
Troy D
TD
Department of Pediatric Infectious Diseases, Tulane University Health Sciences Center, New Orleans, LA 70112, USA. tmoon@tulane.edu
Nadimpalli
Adi
A
Martin
Emily B
EB
Ortiz
Myriam A
MA
Van Dyke
Russell B
RB
D002675:Child, Preschool; D005260:Female; D005684:Gait; D006801:Humans; D007074:Immunoglobulin G / Q000134:cerebrospinal fluid; D007075:Immunoglobulin M / Q000134:cerebrospinal fluid; D009069:Movement Disorders / Q000503:physiopathology* / Q000821:virology; D004856:Postural Balance; D014901:West Nile Fever / Q000503:physiopathology*; D014902:West Nile virus / Q000472:pathogenicity*
D007074:Immunoglobulin G; D007075:Immunoglobulin M