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Volume 9, Number 7—July 2003
Research

Acute Flaccid Paralysis and West Nile Virus Infection

James J. Sejvar*Comments to Author , A. Arturo Leis†, Dobrivoje S. Stokic†, Jay A. Van Gerpen‡, Anthony A. Marfin*, Risa Webb§, Maryam B. Haddad*, Bruce C. Tierney*, Sally A. Slavinski§, Jo Lynn Polk†, Victor Dostrow†, Michael Winkelmann†, and Lyle R. Petersen*
Author affiliations: *Centers for Disease Control and Prevention, Atlanta, Georgia, USA; †Methodist Rehabilitation Center, Jackson, Mississippi, USA; ‡Ochsner Clinic, New Orleans, Louisiana, USA; §Mississippi State Department of Health, Jackson, Mississippi, USA

Main Article

Table 2

Initial clinical signs and symptoms in patients with acute flaccid paralysis associated with acute West Nile virus infection

Case no. Fever 
(>38.5°C) Headache Nuchal rigidity Altered mental status Tremor Distribution of weaknessa
1
 +
 +
 +
 +
 +
 Upper and lower limbs, R > L
2
 +
 +
 -
 +
 -
 Upper and lower limbs, R > L
3
 +
 -
 -
 -
 +
 Lower limbs, R > L
4
 +
 +
 +
 +
 +
 R upper limb
5
 -
 +
 -
 -
 -
 R upper limb
6
 +
 +
 -
 -
 +
 Lower limbs, R > L
7 + + + - - Upper and lower limbs, L > R; bulbar muscles

aR, right; L, left.

Main Article

Page created: December 22, 2010
Page updated: December 22, 2010
Page reviewed: December 22, 2010
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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