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A Fatal Case of West Nile Virus Infection in a Bone Marrow Transplant Recipient
Journal article   Open access   Peer reviewed

A Fatal Case of West Nile Virus Infection in a Bone Marrow Transplant Recipient

Bradley Hiatt, Lucy DesJardin, Thomas Carter, Roger Gingrich, Curt Thompson and Margarida de Magalhaes-Silverman
Clinical infectious diseases, Vol.37(9), pp.e129-e131
11/01/2003
DOI: 10.1086/378891
PMID: 14557983
url
https://doi.org/10.1086/378891View
Published (Version of record) Open Access

Abstract

West Nile virus (WNV) can cause severe, potentially fatal neurological illnesses, which include encephalitis, meningitis, Guillain-Barré syndrome, and anterior myelitis. Because of the short viremic phase, WNV infection is most commonly diagnosed by detection of immunoglobulin M antibody to WNV in serum or cerebrospinal fluid (CSF). We describe a patient with T cell lymphoma who had undergone a T cell-depleted bone marrow transplantation and developed fatal WNV infection. The results of serological tests of blood samples and of CSF tests were negative. Diagnosis was made postmortem by a positive result of reverse-transcriptase polymerase chain reaction (ABI 7700; TaqMan) for WNV in stored CSF and serum samples.

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