Case Reports
Vol. 11 No. 1 (2019): Review Articles, Original Articles, Scientific Letters, Case Reports, Letters to Editor.

West Nile virus encephalitis in haematological setting: report of two cases and brief review of the literature

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Received: January 29, 2019
Accepted: April 2, 2019
Published: April 27, 2019
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West Nile virus is a zoonotic agent causing life-threatening encephalitis in a proportion of infected patients. Older age, immunosuppression and mutations in specific host genes (e.g. CCR5 delta-32 mutation) predispose to neuroinvasive infection. We report on two cases of severe West Nile encephalitis in recently-treated, different-aged, chronic lymphocytic leukemia patients. Both patients developed high-grade fever associated with severe neurological impairment. The younger one harboured germ-line CCR5 delta-32 mutation, which might have played a role in the pathogenesis of its neuroinvasive manifestations.

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“West Nile virus encephalitis in haematological setting: report of two cases and brief review of the literature” (2019) Mediterranean Journal of Hematology and Infectious Diseases, 11(1), p. e2019033. doi:10.4084/mjhid.2019.033.