Case Report: A Fatal Case of West Nile Virus Meningoencephalomyelitis in a Woman with Systemic Lupus Erythematosus Initially Misdiagnosed as SARS-CoV-2 Infection.

Schiuma, Marco; Pezzati, Laura; Ballone, Elisabetta; Borghi, Beatrice; Osio, Maurizio; Mattavelli, Daniele; Galimberti, Laura; Corbellino, Mario; Mileto, Davide; Zanchetta, Nadia; Antinori, Spinello

Schiuma, Marco; Pezzati, Laura; Ballone, Elisabetta; Borghi, Beatrice; Osio, Maurizio; Mattavelli, Daniele; Galimberti, Laura; Corbellino, Mario; Mileto, Davide; Zanchetta, Nadia; Antinori, Spinello.

Schiuma M; 1III Division of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Pezzati L; 2Department of Biomedical and Clinical Sciences "Luigi Sacco", Università degli Studi di Milano, Milano, Italy.
Ballone E; 1III Division of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Borghi B; 2Department of Biomedical and Clinical Sciences "Luigi Sacco", Università degli Studi di Milano, Milano, Italy.
Osio M; 3Intensive Care Unit, Luigi Sacco Hospital, Milan, Italy.
Mattavelli D; 3Intensive Care Unit, Luigi Sacco Hospital, Milan, Italy.
Galimberti L; 4Neurology Unit, Luigi Sacco Hospital, Milan, Italy.
Corbellino M; 4Neurology Unit, Luigi Sacco Hospital, Milan, Italy.
Mileto D; 1III Division of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Zanchetta N; 1III Division of Infectious Diseases, Luigi Sacco Hospital, Milan, Italy.
Antinori S; 5Laboratory of Clinical Microbiology, Virology and Bioemergencies, Luigi Sacco Hospital, Milan, Italy.

Am J Trop Med Hyg ; 104(5): 1716-1718, 2021 Mar 29.

Article in English | MEDLINE | ID: covidwho-1302675

ABSTRACT

ABSTRACT

We present a fatal case of West Nile virus meningoencephalomyelitis initially misdiagnosed as COVID-19 in a 63-year-old Egyptian woman with a previous diagnosis of systemic lupus erythematosus. The patient's medical history and immunosuppressive therapy, as well as the COVID-19 pandemic, substantially broadened the differential diagnosis of her encephalitis.

Subject(s)

COVID-19/diagnosis; Lupus Erythematosus, Systemic/complications; SARS-CoV-2; West Nile Fever/diagnosis; COVID-19/complications; Diagnostic Errors; Fatal Outcome; Female; Humans; Middle Aged; West Nile Fever/mortality

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Full text: Available Collection: International databases Database: MEDLINE Main subject: West Nile Fever / SARS-CoV-2 / COVID-19 / Lupus Erythematosus, Systemic Type of study: Case report / Diagnostic study / Prognostic study Topics: Long Covid Limits: Female / Humans / Middle aged Language: English Journal: Am J Trop Med Hyg Year: 2021 Document Type: Article Affiliation country: Ajtmh.21-0041

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