West Nile Virus Meningitis in a Chronic Immunosuppressed Patient with Rheumatoid Arthritis
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The clinical presentation of West Nile virus (WNV) can be severe in immunosuppressed patients. A 65-year-old with steroid-dependent rheumatoid arthritis on infliximab and methotrexate presented with meningitis and profound muscular weakness. Serum WNV IgM and IgG antibody were positive. WNV should be included in the differential diagnosis of neurological symptoms in peak months.
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PMID: 36969202 PMC: 10035572. DOI: 10.3389/fimmu.2023.1147871.
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