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Signs of West Nile virus infection are similar to those of other viral infections. There is nothing that can be found on physical examination to diagnose West Nile virus infection.
A rash is present in 20-50% of patients. True muscle weakness in the presence of other related symptoms is suggestive of West Nile virus infection.
Diagnostic tests that may be used if West Nile virus is suspected include the following:
The most accurate way to diagnose this infection is serology, a test to detect the presence of antibodies against West Nile virus in CSF or serum (a blood component). This is considered the gold standard for diagnosis.
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