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Infection in those cases was associated with respiratory disease, acute flaccid paralysis, neonatal jaundice, failure to thrive, or unspecified neurologic disease or was asymptomatic. Although this specific outbreak was restricted both geographically and in terms of magnitude (only 17 cases), E13 seemed to be widely distributed in Brazil and has been detected in fecal specimens obtained from patients with acute flaccid paralysis since 1998 (C. Acute flaccid paralysis and West Nile virus infection. |
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