Miller Adam Howard, Liang Ivan En How
Department of Surgery, University of Texas Southwestern Medical Center at Dallas, Dallas, TX 75390-8579, USA.
Ann Emerg Med. 2003 Sep;42(3):413-6. doi: 10.1067/mem.2003.322.
This is a report of a 45-year-old white man who presented to our emergency department with a 2-day history of "seeing double" preceded by a resolving 5-day syndrome of fevers and headache. Clinical suspicion of West Nile virus central nervous system infection was confirmed on the basis of laboratory studies. The current knowledge of West Nile virus pathophysiology and clinical features are discussed. Although commonly associated with global and nonspecific syndromes, this patient presented with focal neurologic symptoms.
这是一份关于一名45岁白人男性的报告，他因出现“复视”2天前来我院急诊科就诊，在此之前有持续5天的发热和头痛症状，随后症状逐渐缓解。基于实验室检查结果，临床怀疑西尼罗河病毒中枢神经系统感染得到证实。本文讨论了目前对西尼罗河病毒病理生理学和临床特征的认识。虽然西尼罗河病毒通常与全身性和非特异性综合征相关，但该患者表现为局灶性神经症状。
