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Previous Volume 346:1030-1031 March 28, 2002 Number 13 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: We describe one of the two sentinel cases of West Nile encephalitis that have occurred in humans in Massachusetts. Both cases involved elderly Massachusetts residents, one of whom died from West Nile virus infection in mid-October, and both were diagnosed simultaneously.

An 89-year-old man presented to a community hospital in October 2001 with fever and confusion. Except for recurrent hematuria, he had been in good health until the day before admission. After going to sleep unusually early, he awoke confused at 12:30 a.m. and slumped to the floor. His initial evaluation was notable for fever (oral temperature, . . . [Full Text of this Article]

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