Rhabdomyolysis in a patient with West Nile encephalitis and flaccid paralysis.

Malini Gupta, Mehrdad Ghaffari, Amado Freire

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

West Nile Virus (WNV), a flavivirus, was first documented in the United States by the Center for Disease Control in 1999. WNV has been associated with a variety of clinical features from a subclinical febrile illness to a neuroinvasive disease. Rhabdomyolysis, however, has not been a clinically well-described occurrence during WNV illness. We report a case of a 56 year-old African-American male with WNV infection who developed neuroinvasive encephalitis, flaccid paralysis, and rhabdomyolysis. During his illness, creatinine kinase (CK) values peaked at 45,276 U/L. We discuss the temporal relationship of the development of rhabdomyolysis, the course of his paralytic illness, imaging results, and present supporting evidence that rhabdomyolysis was not a sequel of another clinical condition. With the increasing spread of WNV, it is important to recognize rhabdomyolysis and flaccid paralysis as important manifestations of neuroinvasive WNV infection.

Original languageEnglish (US)
Pages (from-to)45-47
Number of pages3
JournalTennessee medicine : journal of the Tennessee Medical Association
Volume101
Issue number4
StatePublished - Jan 1 2008

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West Nile virus
Rhabdomyolysis
Encephalitis
Paralysis
Virus Diseases
Flavivirus
Centers for Disease Control and Prevention (U.S.)
African Americans
Creatinine
Fever
Phosphotransferases

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Rhabdomyolysis in a patient with West Nile encephalitis and flaccid paralysis. / Gupta, Malini; Ghaffari, Mehrdad; Freire, Amado.

In: Tennessee medicine : journal of the Tennessee Medical Association, Vol. 101, No. 4, 01.01.2008, p. 45-47.

Research output: Contribution to journalArticle

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