• J Am Board Fam Med · May 2021

    Expanding the Differential During the COVID-19 Pandemic: Fatal West Nile Virus Neuroinvasive Disease.

    • Stephen J Titus, Robert N Suter, Anh T Hoang, and Paul A Figel.
    • From the Family Medicine Residency, Baylor University Medical Center, Dallas, TX (SJT, RNS, ATH, PAF); Texas A&M School of Medicine, College Station, Bryan, TX (SJT, RNS). stephen.titus@bswhealth.org.
    • J Am Board Fam Med. 2021 May 1; 34 (3): 661-662.

    AbstractThe ever-evolving pandemic of Coronavirus disease 2019 (COVID-19) has the potential to drown out other viruses continuing to infect communities. To highlight this, we present 2 cases of fatal West Nile virus neuroinvasive disease that occurred within 2 weeks of each other. Since the first positive case of West Nile virus in the United States, there have been 2 epidemics in the past 2 decades, most often occurring in regions of North Texas and Southern California, which have been areas of high-incidence for COVID-19. It is important for the health care provider to recognize diagnostic biases and maintain broad differentials for the patient presenting with fever and other symptoms associated with COVID-19.© Copyright 2021 by the American Board of Family Medicine.

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