PT - JOURNAL ARTICLE AU - Pile, James TI - West Nile fever: Here to stay and spreading DP - 2001 Jun 01 TA - Cleveland Clinic Journal of Medicine PG - 553--560 VI - 68 IP - 6 4099 - http://www.ccjm.org/content/68/6/553.short 4100 - http://www.ccjm.org/content/68/6/553.full SO - Cleve Clin J Med2001 Jun 01; 68 AB - The ultimate extent of West Nile virus’s range in North America is uncertain but is likely to expand in 2001. Spread chiefly by night-biting Culex mosquitoes, the virus results in infection that most often is asymptomatic or causes a self-limited febrile illness. The elderly, however, are prone to develop neurologic manifestations, including potentially fatal encephalitis.