Which physical findings are characteristic of West Nile virus infection?

Updated: Apr 02, 2018
  • Author: Jess D Salinas, Jr, MD; Chief Editor: Elizabeth A Moberg-Wolff, MD  more...
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Signs of encephalitis and meningoencephalitis may be seen. These include mental status changes, such as confusion, stupor, or coma. Other findings include positive Brudzinski and Kernig signs, papilledema, cranial nerve involvement (eg, facial weakness, double vision, visual loss, decreased taste sensation), motor strength weakness, decreased sensation, hyperreflexia, and positive pathologic reflexes (eg, Babinski sign, Hoffman sign).

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