0
Pulmonary and Critical Care Pearls |

A 41-Year-Old Man With Altered Mental Status and Acute Flaccid Paralysis*

Gökhan M. Mutlu, MD, FCCP; Tomasz Kuzniar, MD; Phillip Factor, DO, FCCP
Author and Funding Information

*From the Northwestern University Feinberg School of Medicine (Drs. Mutlu and Kuzniar), Chicago, IL; and Columbia University College of Physicians and Surgeons (Dr. Factor), New York, NY.

Correspondence to: Gökhan M Mutlu, MD, Pulmonary and Critical Care Medicine, Northwestern University, Feinberg School of Medicine, 303 E Chicago Ave, Tarry 14–707, Chicago, IL 60611; e-mail: g-mutlu@northwestern.edu



Chest. 2005;127(1):391-394. doi:10.1378/chest.127.1.391
Text Size: A A A
Published online

Extract

A 41-year-old man with a history of thymoma resection was admitted to the hospital with a 3-week history of generalized body aches and fever during late summer. He also reported severe headache for 1 week and photophobia for 3 weeks. He denied any recent travel, sick contacts, insect bites, rash, muscle weakness, or neck stiffness. He reported dizziness and blurred and double vision, and was noted to have an unsteady gait 1 day prior to hospital admission.

1Anderson, JF, Rahal, JJ (2002) Efficacy of interferon α-2b and ribavirin against West Nile virusin vitro.Emerg Infect Dis8,107-1082Asnis, DS, Conetta, R, Waldman, G, et al The West Nile virus encephalitis outbreak in the United States (1999–2000): from Flushing, New York, to beyond its borders.Ann N Y Acad Sci2001;951,161-1713Glass, JD, Samuels, O, Rich, MM Poliomyelitis due to West Nile virus.N Engl J Med2002;347,1280-12814Jordan, I, Briese, T, Fischer, N, et al Ribavirin inhibits West Nile virus replication and cytopathic effect in neural cells.J Infect Dis2000;182,1214-12175Leis, AA, Stokic, DS, Polk, JL, et al A poliomyelitis-like syndrome from West Nile virus infection.N Engl J Med2002;347,1279-12806Marberg, K, Glodblum, N, Sterk, VV, et al The natural history of West Nile fever: I. Clinical observations during an epidemic in Israel.Am J Hyg1956;64,259-2697Nash, D, Mostashari, F, Fine, A, et al The outbreak of West Nile virus infection in the New York City area in 1999.N Engl J Med2001;344,1807-18148Pepperell, C, Rau, N, Krajden, S, et al West Nile virus infection in 2002: morbidity and mortality among patients admitted to hospital in southcentral Ontario.CMAJ2003;168,1399-14059Petersen, LR, Marfin, AA West Nile virus: a primer for the clinician.Ann Intern Med2002;137,173-17910Shimoni, Z, Niven, MJ, Pitlick, S, et al Treatment of West Nile virus encephalitis with intravenous immunoglobulin [letter].Emerg Infect Dis2001;7,759

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543