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Washington University Experience | INFECTION | Viruses | West Nile Virus | 7A0 Case 7 - history
Case 7 History
A 73 year old man had a four day history of fever, body aches, and malaise. He spent much time outdoors. On exam he had a low grade fever without neck stiffness, rash, cough, or gastrointestinal symptoms. Two days later his condition worsened, and he was admitted to the hospital. Examination showed slow mentation, dysarthria, and profound weakness in all extremities, lower worse than upper. Reflexes were normal, and he was afebrile. A CBC showed lymphopenia. He was admitted and died 36 hours later.