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Consider West Nile for Sudden-Onset Paralysis


 

The other patients survived, but only one regained baseline strength: a 48-year old woman with a prior kidney transplant. A month after developing gastroenteritis she became confused and developed proximal bilateral arm weakness.

The other three patients survived but with neurologic deficit: a previously healthy 54-year-old woman who developed paraplegia after a flu-like illness; a previously healthy 32-year-old woman who developed left arm, face, and leg weakness after 3 days of severe headache and truncal rash; and a 50-year-old man with a liver transplant who developed rapidly progressive quadriplegia after experiencing severe abdominal pain and encephalopathy.

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