Annals of Indian Academy of Neurology
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A case of monocytic pleocytosis in West Nile virus encephalitis and review of the literature


 University of Nebraska Medical Center, Omaha, NE, United States

Correspondence Address:
Brian J Villafuerte Trisolini,
Univeristy of Nebraska Medical Center, Neurological Sciences 4242, Farnam St 650, Omaha, NE 68131
United States
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/aian.AIAN_103_19

West Nile Virus (WNV) encephalitis CSF findings are usually described as polymorphonuclear pleocytosis initially followed by lymphocytic pleocytosis. We report a 68-year-old female with WNV encephalitis monocytic pleocytosis and flaccid quadriparesis with ventral roots enhancement. We suggest the inclusion of neuroinvasive WNV in the differential of encephalopathy with flaccid paralysis despite a monocytic pleocytosis. We also suggest the consideration of neuroinvasive in acute polyneuropathies unresponsive to immunotherapies.


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    -  Villafuerte Trisolini BJ
    -  Taha M
    -  Yousif Matloub MS
    -  Diesing T S
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