West Nile Encephalitis presenting with fever, vertigo, and intention tremor progressing to neurogenic shock and death in Philadelphia area elderly gardener
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A 77 year old female smoker with history of Polymyalgia Rheumatica and Sarcoidosis presented to hospital with a two day history of fever, nausea, gait ataxia, and new bilateral intention tremor. After admission, she was noted to become rigid with features of p... ...
