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The Journal of the American Board of Family Practice 17:470-472 (2004)
© 2004 American Board of Family Practice

Brief Report

Cerebrospinal Fluid Neutrophilic Pleocytosis in Hospitalized West Nile virus Patients

Renee Crichlow, MD, Jessica Bailey, MD and Cameron Gardner, MD

From the Montana Family Medicine Residency Program, Billings

Correspondence: Address correspondence to Renee Crichlow, MD, Montana Family Medicine Residency Program, 123 S. 27th St., Ste. B, Billings, MT 59101 (e-mail: reneec4{at}u.washington.edu)

Abstract

A description of 7 consecutive patients admitted for various forms of neurological impairment. All these patients were found to have cerebrospinal fluid positive for West Nile virus IgM, and routine bacterial cultures were negative. Six of these patients did not present with the typical lymphocytic pleocytosis often quoted when discussing a viral meningitis/encephalitis; rather most presented with a cerebrospinal fluid neutrophilia.




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K. L. Tyler, J. Pape, R. J. Goody, M. Corkill, and B. K. Kleinschmidt-DeMasters
CSF findings in 250 patients with serologically confirmed West Nile virus meningitis and encephalitis
Neurology, February 14, 2006; 66(3): 361 - 365.
[Abstract] [Full Text] [PDF]


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Copyright © 2004 by the American Board of Family Medicine.