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  • Approximately 5 percent of patients with symptomatic West Nile virus infection (less than 1 percent of all infected persons) develop more severe neurologic illness, including meningitis, encephalitis, and acute flaccid paralysis characteristic of a poliomyelitis-like syndrome.18 West Nile meningitis is characterized by acute onset of headache, nuchal rigidity, photophobia, or other signs of mening
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