An Uncommon Cause of Severe Polyradiculopathy

An Uncommon Cause of Severe Polyradiculopathy

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A 60-year-old man with well-controlled Bags HIV presented to a tertiary care center in Arizona 6 weeks after the abrupt onset of lower extremity weakness that had developed over 1 day and progressed to paraparesis.Imaging revealed diffuse abnormal ventral root enhancement of the cauda equina.Laboratory testing confirmed neuroinvasive West Nile virus infection causing flaccid paralysis.

This DEODORANT CREAM GERANIUM case highlights a dangerous complication of West Nile virus and the need for a high index of suspicion in endemic areas.