title: West Nile virus-associated brachial plexopathy.
abstract: West Nile virus (WNV) is the most frequent cause of arbovirus infection in the USA. Only 20% of infected individuals are symptomatic. Less than 1% of symptomatic individuals display West Nile neuroinvasive disease. We report a rare case of WNV-associated brachial plexopathy in a young immunocompetent individual, without cerebrospinal fluid pleocytosis or encephalitis. Additionally, there was subjective and objective improvement after high-dose corticosteroids. This case adds to the clinical spectrum of WNV neuroinvasive disease. The literature regarding immunomodulatory treatment and WNV is reviewed.
authors.affiliation: Department of Neurology, University of Texas Houston Health Science Center, Houston, Texas, USA.
authors.forename: Mandeep
authors.initials: M
authors.lastname: Chahil
authors.affiliation: Department of Neurology, University of Texas Houston Health Science Center, Houston, Texas, USA.
authors.forename: Thy Phuong
authors.initials: TP
authors.lastname: Nguyen
mesh_terms: D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D020516:Brachial Plexus Neuropathies / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014901:West Nile Fever / Q000150:complications* / Q000188:drug therapy; D055815:Young Adult
chemical_list: D000305:Adrenal Cortex Hormones