PT  - JOURNAL ARTICLE
AU  - Stephen J. Titus
AU  - Robert N. Suter
AU  - Anh T. Hoang
AU  - Paul A. Figel
TI  - Expanding the Differential During the COVID-19 Pandemic: Fatal West Nile Virus Neuroinvasive Disease
AID  - 10.3122/jabfm.2021.03.200630
DP  - 2021 May 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 661--662
VI  - 34
IP  - 3
4099  - http://www.jabfm.org/content/34/3/661.short
4100  - http://www.jabfm.org/content/34/3/661.full
SO  - J Am Board Fam Med2021 May 01; 34
AB  - The ever-evolving pandemic of Coronavirus disease 2019 (COVID-19) has the potential to drown out other viruses continuing to infect communities. To highlight this, we present 2 cases of fatal West Nile virus neuroinvasive disease that occurred within 2 weeks of each other. Since the first positive case of West Nile virus in the United States, there have been 2 epidemics in the past 2 decades, most often occurring in regions of North Texas and Southern California, which have been areas of high-incidence for COVID-19. It is important for the health care provider to recognize diagnostic biases and maintain broad differentials for the patient presenting with fever and other symptoms associated with COVID-19.