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Correspondence
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Volume 342:59-60 January 6, 2000 Number 1
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West Nile Viral Encephalitis in an HIV-Positive Woman in New York

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To the Editor: We describe a 38-year-old woman with human immunodeficiency virus (HIV) infection and West Nile viral encephalitis. She had a CD4+ lymphocyte count of 351 per cubic millimeter, less than 50 copies of HIV RNA per milliliter on polymerase-chain-reaction assays, and was receiving lamivudine, nevirapine, and zidovudine. She presented with a one-week history of headache and fever and a three-day history of neck stiffness, photophobia, and vomiting. She lived in the Bronx, New York, and had not traveled outside the United States. On admission, she had a temperature of 40°C, nuchal rigidity without focal neurologic signs, and a . . . [Full Text of this Article]

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