Cauda equina arachnoiditis – a rare manifestation of West Nile virus neuroinvasive disease: A case report

doi:10.12998/wjcc.v8.i17.3797

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Sep 6, 2020 (publication date) through Apr 26, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Sep 6, 2020; 8(17): 3797-3803
Published online Sep 6, 2020. doi: 10.12998/wjcc.v8.i17.3797

Table 2 Virology results in a patient with West Nile virus neuroinvasive disease and cauda equina arachnoiditis

Virus	Day tested	Serology				RT-PCR
Virus	Day tested	Serum ELISA IgM^a/IgG^b	CSF ELISA IgM^a/IgG^b	Serum IFA IgM/IgG	IgG avidity^c	CSF	Urine	Serum
TBEV	8	Neg (0.32)/Neg (4.61)	Neg (0.24)/Neg (< 2)	NT	NT	Neg	Neg	Neg
WNV	8	Pos (4.40)/Pos (29.31)	Pos (4.61)/Pos (44.67)	NT	Low (3%)	Neg	Neg	Neg
	15	Pos (4.18)/Pos (115.23)
	22	Pos (4.47)/Pos (143.64)
USUV	8	NT/Neg (10.95)	NT/Neg (12.04)	NT	NT	Neg	Neg	Neg
TOSV	8	NT	NT	Neg/Neg	NT	Neg	Neg	Neg
TAHV	8	NT	NT	NT	NT	Neg	Neg	Neg
BHAV	8	NT	NT	NT	NT	Neg	Neg	Neg

^aratio < 8 negative, 8-1.1 borderline, > 1.1 positive.

^bRU/ml < 16 negative, 16-22 borderline, > 22 positive.

^cavidity index < 40% low, 40-60% borderline, > 60% high. TBEV: Tick-borne encephalitis virus; WNV: West Nile virus; USUV: Usutu virus; TOSV: Toscana virus; TAHV: Tahyna virus; BHAV: Bhanja virus; NT: Not tested; RT-PCR: reverse-transcriptase polymerase chain reaction; ELISA: Enzyme-linked immunosorbent assays; CSF: Cerebrospinal fluid; IFA: Immunofluorescence assay.

Citation: Santini M, Zupetic I, Viskovic K, Krznaric J, Kutlesa M, Krajinovic V, Polak VL, Savic V, Tabain I, Barbic L, Bogdanic M, Stevanovic V, Mrzljak A, Vilibic-Cavlek T. Cauda equina arachnoiditis – a rare manifestation of West Nile virus neuroinvasive disease: A case report. World J Clin Cases 2020; 8(17): 3797-3803
URL: https://www.wjgnet.com/2307-8960/full/v8/i17/3797.htm
DOI: https://dx.doi.org/10.12998/wjcc.v8.i17.3797