Table 1. Signs and symptoms in 32 patients with West Nile virus (WNV)–associated paralysis.
| Systemic sign or symptom | Acute infection, N = 32 |
4-month followup, N = 27 |
||
|---|---|---|---|---|
| n | (%) | n | (%) | |
| Fever (temperature ≥38°C) | 29 | (91) | 0 | |
| Nausea with or without vomiting | 26 | (81) | 0 | |
| Headache | 28 | (88) | 5 | (19) |
| Altered mental status | 16 | (50) | 0 | |
| Meningismus | 10* | (31) | 0 | |
| Rash | 4 | (13) | 0 | |
| WNV-associated neurologic features | ||||
| Tremor | 21† | (66) | 8 | (25) |
| Myoclonus | 15 | (47) | 2 | (6) |
| Parkinsonism | 8 | (25) | 2 | (6) |
| Cerebellar ataxia | 3 | (9) | 2 | (6) |
| Limb atrophy | 0 | 17 | (53) | |
*Includes 2 patients with Guillain-Barré–like syndrome and 1 patient with long thoracic nerve weakness. †Includes 2 patients with Guillain-Barré–like syndrome.