Idioventricular Rhythm in a Case of West Nile Encephalomyelitis

Abstract

Background: West nile virus (WNV), since its first appearance in the USA in 1999 has been a leading cause of viral encephalitis. There is one case report of associated fatal arrhythmia. Case: Presented is a 65 year old Hispanic male without significant past medical history presenting with West Nile Encephalomyelitis with subsequent quadriplegia and developed recurrent idioventricular rhythm requiring a permanent pacemaker. Conclusion: In the setting of West Nile Encephalomyelitis, cardiac monitoring for idioventricular rhythms and cardiac intervention should be considered.