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Thorax 2004;59:268-269
© 2004 BMJ Publishing Group Ltd & British Thoracic Society


CASE REPORT

Bilateral diaphragmatic paralysis and related respiratory complications in a patient with West Nile virus infection

A D Betensley1, S H Jaffery1, H Collins1, N Sripathi2, F Alabi1

1 Department of Internal Medicine, Pulmonary/Critical Care Division, Henry Ford Hospital, Detroit, Michigan, USA
2 Department of Neurology, Henry Ford Hospital, Detroit, Michigan, USA

Correspondence to:
Correspondence to:
Dr A D Betensley
Department of Internal Medicine, Pulmonary/Critical Care Division, Henry Ford Hospital, 2799 W Grand Blvd, Detroit, Michigan 48202, USA; abetens1{at}hfhs.org


ABSTRACT
The case report is presented of a patient with West Nile virus infection and ventilator dependent respiratory failure in whom bilateral diaphragmatic paralysis developed. If the prevalence of West Nile virus infection continues to rise, recognition of diaphragmatic paralysis and related respiratory complications will become increasingly important to the pulmonary/critical care physician.


Keywords: West Nile virus; diaphragmatic paralysis; respiratory complications







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