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An Unusual Cause of Vertigo With Positive 14-3-3 Protein in Cerebrospinal Fluid

de Sanctis, Jorgelina T. MD*; Oostendorp, Sarah Beth MD; Boyanton, Bobby L. Jr MD; Robinson-Dunn, Barbara PhD, DABMM; Hughes, Mark PhD§; Olson, Ken E. PhD; Sims, Matthew D. MD, PhD*

Infectious Diseases in Clinical Practice: March 2009 - Volume 17 - Issue 2 - p 127-129
doi: 10.1097/IPC.0b013e31817e5bed
Case Reports

California serogroup viral infections are the most common reported etiology of arboviral encephalitis in the United States. Since 2002, only 29 cases have been reported in Michigan, mostly in children. We report a case of a 27-year-old woman presenting with vertigo and whose cerebrospinal fluid contained 14-3-3 protein.

From the *Divisions of Infectious Diseases, †Internal Medicine Division and ‡Clinical Microbiology, William Beaumont Hospital, Royal Oak, MI; §Arthropod-Borne and Infectious Disease Laboratory and ∥Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, CO.

Reprints: Jorgelina T. de Sanctis, MD, Division of Infectious Diseases, William Beaumont Hospital, 3601 W Thirteen Mile Rd, Royal Oak, MI 48073. E-mail:

© 2009 Lippincott Williams & Wilkins, Inc.