An Uncommon Cause of Severe Polyradiculopathy

An Uncommon Cause of Severe Polyradiculopathy

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A 60-year-old man with well-controlled HIV presented to a tertiary care center in Arizona 6 weeks after the abrupt onset of lower extremity weakness that had developed over 1 day Magnetic Blocks and progressed to paraparesis.Imaging revealed diffuse abnormal ventral root enhancement of the cauda equina.Laboratory testing confirmed neuroinvasive West Nile virus infection causing flaccid paralysis.This case highlights a dangerous Ship Model complication of West Nile virus and the need for a high index of suspicion in endemic areas.