Persistent Neuroinvasive West Nile Virus Infection in an Immunocompromised Patient
Author(s) -
Robert G. Penn,
Jeannette Guarner,
James J. Sejvar,
Hassan Hartman,
Rodney D. McComb,
Diana L. Nevins,
Julu Bhatnagar,
Sherif R. Zaki
Publication year - 2006
Publication title -
clinical infectious diseases
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1086/500216
Subject(s) - medicine , west nile virus , meningoencephalitis , virology , autopsy , virus , antibody , lymphoma , pathogenesis , immunology , pathology
A 57-year-old man who had received treatment for B cell lymphoma presented with West Nile virus (WNV) meningoencephalitis. During his 99-day hospitalization, no WNV-specific antibodies were detected. In postmortem central nervous system samples obtained at autopsy, WNV RNA and WNV antigens were detected. This patient's case raises important issues related to the diagnosis, pathogenesis, and possible treatment of persistent WNV infection.
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