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West Nile virus infection presenting as acute flaccid paralysis in an HIV-infected patient

A case report and review of the literature

From the Department of Medicine, David Geffen School of Medicine at University of California at Los Angeles (UCLA) and Harbor–UCLA Medical Center, Torrance, CA.

Address correspondence and reprint requests to Dr Torno, Early Intervention Program, Long Beach Health Department, 2525 Grand Ave., Suite 106, Long Beach, CA 90815; e-mail: Mauro_Torno{at}longbeach.gov

Abstract.

We describe a case of West Nile virus (WNV) infection in an HIV-infected patient who presented with an isolated flaccid monoparesis of the right upper extremity. To our knowledge, this is the first reported case of flaccid paralysis caused by WNV infection in an HIV-infected patient. We then review the medical literature on WNV infection occurring among patients who are infected with HIV. Unlike most of the cases reported in the literature, our patient had partial recovery of his neurologic deficits.

Footnotes

Disclosure: The authors report no conflicts of interest.

Received May 31, 2006. Accepted in final form October 19, 2006.