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June 14, 2001New England Journal of Medicine1,386 citationsOpen Access

The Outbreak of West Nile Virus Infection in the New York City Area in 1999

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DNDenis NashFMFarzad MostashariAFAnnie D. Fine

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Abstract

This outbreak of West Nile meningoencephalitis in the New York City metropolitan area represents the first time this virus has been detected in the Western Hemisphere. Given the subsequent rapid spread of the virus, physicians along the eastern seaboard of the United States should consider West Nile virus infection in the differential diagnosis of encephalitis and viral meningitis during the summer months, especially in older patients and in those with muscle weakness.

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Nash et al. (2001) studied this question.

synapsesocial.com/papers/69d75887086f9d6299f308b9https://doi.org/10.1056/nejm200106143442401
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