RT Journal Article
SR Electronic
T1 Expanding the Differential During the COVID-19 Pandemic: Fatal West Nile Virus Neuroinvasive Disease
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 661
OP 662
DO 10.3122/jabfm.2021.03.200630
VO 34
IS 3
A1 Stephen J. Titus
A1 Robert N. Suter
A1 Anh T. Hoang
A1 Paul A. Figel
YR 2021
UL http://www.jabfm.org/content/34/3/661.abstract
AB The 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.