title: WEST NILE VIRUS MENINGO-ENCEPHALITIS: POSSIBLE SEXUAL TRANSMISSION.
abstract: OBJECTIVE
  We report a previously healthy middle aged woman who developed West Nile virus meningo-encephalitis within two weeks of unprotected vaginal intercourse with her husband.
  
  
  METHODS
  This patient's husband had serologically confirmed West Nile virus infection manifested by a flu-like illness and rash with the sexual contact one day before the onset of his symptoms.
  
  
  RESULTS
  This well documented neuroinvasive West Nile virus infection in our patient was within the incubation period of transmission and there was no reported mosquito bite exposure.
  
  
  CONCLUSIONS
  The timeframe of infection raises the possibility that her illness was sexually transmitted.
authors.affiliation: Dr. Kelley is Professor and Chairman of Neurology at Tulane University School of Medicine.
authors.forename: Roger E
authors.initials: RE
authors.lastname: Kelley
authors.affiliation: Dr. Berger is Professor and Chairman emeritus of the Department of Neurology at the University of Kentucky School of Medicine and is presently Professor of Neurology at University of Pennsylvania School of Medicine.
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Berger
authors.affiliation: Mr. Brian Kelley is a first year medical student at Tulane.
authors.forename: Brian P
authors.initials: BP
authors.lastname: Kelley
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D012725:Sexual Behavior; D012749:Sexually Transmitted Diseases; D014901:West Nile Fever / Q000175:diagnosis / Q000635:transmission*; D014902:West Nile virus