title: [West Nile virus poliomyelitis after a holiday in Egypt].
abstract: BACKGROUND
  Due to the worldwide near-extinction of poliovirus infections an acute presentation of poliomyelitis in the Netherlands has become extremely rare. However, in the differential diagnosis of such a disease presentation other pathogens need to be considered as well.
  
  
  METHODS
  A 44-year-old female presented with fever and a flaccid paresis of the left leg, following a holiday in Egypt. The laboratory investigation demonstrated an acute West Nile virus (WNV) infection, after which the diagnosis 'WNV poliomyelitis' was made.
  
  
  CONCLUSIONS
  WNV poliomyelitis is a rare neurological complication of an infection with the WNV. The areas in Europe where WNV transmission to humans occurs are expanding. In the future, the number of neurological disorders caused by WNV is likely to increase, also in the Netherlands.
authors.affiliation: Tergooiziekenhuizen, afd. Neurologie, Blaricum, the Netherlands.
authors.forename: Elise
authors.initials: E
authors.lastname: Kropman
authors.forename: Leendert J
authors.initials: LJ
authors.lastname: Bakker
authors.forename: Jeroen J J
authors.initials: JJ
authors.lastname: de Sonnaville
authors.forename: Marion P G
authors.initials: MP
authors.lastname: Koopmans
authors.forename: Joost
authors.initials: J
authors.lastname: Raaphorst
authors.forename: Johannes A
authors.initials: JA
authors.lastname: Carpay
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D004534:Egypt; D005260:Female; D006801:Humans; D011051:Poliomyelitis / Q000175:diagnosis* / Q000821:virology; D014195:Travel; D014901:West Nile Fever / Q000150:complications* / Q000175:diagnosis*