title: West Nile virus infection presenting as acute flaccid paralysis in an HIV-infected patient: a case report and review of the literature.
abstract: 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.
authors.affiliation: Department of Medicine, David Geffen School of Medicine, University of California at Los Angeles, CA, USA. Mauro_Torno@longbeach.gov
authors.forename: Mauro
authors.initials: M
authors.lastname: Torno
authors.forename: Michael
authors.initials: M
authors.lastname: Vollmer
authors.forename: C Keith
authors.initials: CK
authors.lastname: Beck
mesh_terms: D001132:Arm; D004797:Enzyme-Linked Immunosorbent Assay; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009123:Muscle Hypotonia / Q000503:physiopathology / Q000821:virology*; D010243:Paralysis / Q000503:physiopathology / Q000821:virology*; D020127:Recovery of Function; D014901:West Nile Fever / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology / Q000821:virology; D014902:West Nile virus / Q000302:isolation & purification