title: Atypical presentation of West Nile virus in a newly diagnosed human immunodeficiency virus patient in New York City.
abstract: Central nervous system manifestations of West Nile virus (WNV) infection include meningitis, encephalitis, and poliomyelitis-like syndrome. We describe a 44-year-old man with no past medical history who presented with a meningoencephalitic syndrome and spastic paralysis bilaterally in the upper and lower extremities, hyperreflexia, and myoclonus and was ultimately diagnosed as being infected with HIV and WNV.
authors: College of Medicine.
authors: Joby
authors: J
authors: Josekutty
authors: Richard
authors: R
authors: Yeh
authors: Sheena
authors: S
authors: Mathew
authors: Ada
authors: A
authors: Ene
authors: Nina
authors: N
authors: Ramessar
authors: Jennilee
authors: J
authors: Trinidad
mesh_terms: D000328:Adult; D006678:HIV / Q000302:isolation & purification; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000209:etiology / Q000473:pathology; D009519:New York City; D010264:Paraplegia / Q000209:etiology / Q000473:pathology; D014901:West Nile Fever / Q000175:diagnosis* / Q000473:pathology*; D014902:West Nile virus / Q000302:isolation & purification*