Diagnostic challenge – West Nile encephalitis mimicking stroke – case report

Maria-Gabriela Catana, Department of Neurology, Emergency Clinical County Hospital, Sibiu, Romania, Liliana-Cristina Cuibus, Ionela-Alexandra Cosma, Corina Roman-Filip, Faculty of Medicine, Lucian Blaga University, Sibiu, Romania, Department of Neurology, Emergency Clinical County Hospital, Sibiu, Romania, Department of Neurology, Emergency Clinical County Hospital, Sibiu, Romania, Department of Neurology, Emergency Clinical County Hospital, Sibiu, Romania, Faculty of Medicine, Lucian Blaga University, Sibiu, Romania
2019 Romanian Journal of Neurology  
West Nile virus (WNV) is widely distributed around the world. The WNV is maintained in nature by a cycle involving mosquitoes and birds, which are presumed to be the most important amplifying hosts. We present the case of a 75 years old male patient admitted to the neurology department for several symptoms that could be attributed to a stroke. The symptomatology had an acute onset. The computed tomography and the magnetic resonance imaging revealed lacunar stroke in right semioval center. The
more » ... ioval center. The final diagnosis was established by the lumbar punction: West Nile virus was highlighted in the cerebrospinal fluid,clinical evolution was favorable,the patient was discharge with minimal neurologic deficits.
doi:10.37897/rjn.2019.4.10 fatcat:zw3unfafrjavjoczxfl5lbnwva