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Arch Intern Med. 2002;162:606-607.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

West Nile virus (WNV) is a flavivirus, a member of the Japanese encephalitis family. West Nile virus infection is a zoonotic disease transmitted by a mosquito vector with wild birds serving as its reservoir. The infection is usually asymptomatic in endemic areas. West Nile virus is usually a self-limited, febrile, influenzalike illness with a short incubation period. The disease predominantly affects the nervous system and the most serious manifestations are fatal encephalitis and hepatitis.

In 1999, an outbreak of WNV encephalitis occurred in New York, NY, and in Israel in the summer of 2000, causing a total of 30 deaths of elderly people. The first outbreaks were reported in Israel in 1950, and again in Israel in 1981.¹ In the summer of 2000, 23 people died and approximately 300 people were diagnosed as seropositive to WNV in the Israeli outbreak.² We describe an Israeli patient who had a very unusual . . . [Full Text of this Article]

Report of a Case


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