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26 (normal range: Pifithrin-�� of 375 with 53% polymorphonuclear cells and 43% lymphocytes, a protein count of 101, and glucose count of 84. West Nile antibodies in the CSF were detected via ELISA and the results were as follows: IgG 1.26 (normal range: screening assay infected with West Nile will have such symptoms [1, 3]. These symptoms are more common among elderly, diabetic, and hypertensive patients as well as among patients with previous CNS insults [1]. Approximately 15% of patients who have encephalitis progress to coma. Other abnormalities that may occur concomitantly include depressed DTRs, profound proximal muscle weakness, flaccid paralysis, and respiratory failure [2, 5]. EMG results in patients who had muscle weakness resembled a motor axonal polyneuropathy with sparing of the sensory Temsirolimus (CCI-779, NSC 683864) fibers. However, one case did demonstrate demyelination polyneuritis, which exhibited a Guillain-Barre-like picture [5]. CSF findings include pleocytosis with a predominance of lymphocytes, elevated protein, and normal glucose levels. Other neurological manifestations of West Nile, which are quite rare, include myelitis, optic neuritis, rhombencephalitis, and polyradiculitis. 4. Diagnosis The most sensitive test used for diagnosis of West Nile is the serum or CSF IgM. There is some cross-reactivity with other IgM assays including St. Louis encephalitis, Dengue, and Yellow Fever, resulting in a low specificity of this test. As a result, IgG must be present in the same sample to confirm the diagnosis [2]. 5. Treatment and Prevention All patients with suspected West Nile meningitis or encephalitis should be brought to the hospital for supportive treatment and observation and to rule out treatable CNS illnesses such as herpesvirus, bacterial meningitis, or Guillain-Barre syndrome [5]. The most common cause of death is neuronal dysfunction, respiratory failure, and cerebral edema. The edema is a result of neuronal injury and death [5, 6].

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