TY - JOUR AU - Weiss, Don AU - Carr, Darcy AU - Kellachan, Jacqueline AU - Tan, Christina AU - Phillips, Michael AU - Bresnitz, Eddy AU - Layton, Marcelle T1 - Clinical Findings of West Nile Virus Infection in Hospitalized Patients, New York and New Jersey, 2000 T2 - Emerging Infectious Disease journal PY - 2001 VL - 7 IS - 4 SP - 654 SN - 1080-6059 AB - Outbreaks of West Nile (WN) virus occurred in the New York metropolitan area in 1999 and 2000. Nineteen patients diagnosed with WN infection were hospitalized in New York and New Jersey in 2000 and were included in this review. Eleven patients had encephalitis or meningoencephalitis, and eight had meningitis alone. Ages of patients ranged from 36 to 87 years (median 63 years). Fever and neurologic and gastrointestinal symptoms predominated. Severe muscle weakness on neurologic examination was found in three patients. Age was associated with disease severity. Hospitalized cases and deaths were lower in 2000 than in 1999, although the case-fatality rate was unchanged. Clinicians in the Northeast should maintain a high level of suspicion during the summer when evaluating older patients with febrile illnesses and neurologic symptoms, especially if associated with gastrointestinal complaints or muscle weakness. KW - West Nile virus KW - encephalitis KW - meningitis KW - case series KW - descriptive epidemiology KW - hyponatremia KW - United States DO - 10.3201/eid0704.017409 UR - https://wwwnc.cdc.gov/eid/article/7/4/01-7409_article ER - End of Reference