Seronegative West Nile Virus in a Patient With Stage 4 Follicular Cell Lymphoma

West Nile virus (WNV) is an arbovirus, which is transmitted by mosquitoes. Transmission peaks in the late summer and early fall. In 2018, Virginia had 47 total cases of WNV, 37 of which were neuroinvasive with 7 reported deaths. Risk factors for neuroinvasive WNV include advanced age, history of organ transplantation, and hematologic malignancy especially those actively undergoing chemotherapy. Here we discuss a case of a patient with stage 4 follicular cell lymphoma with recent chemotherapy and radiation therapy, who was found to have severe neuroinvasive seronegative WNV encephalitis with flaccid paralysis.
Source: Infectious Diseases in Clinical Practice - Category: Infectious Diseases Tags: Case Reports Source Type: research