West Nile virus (WNV) is the leading cause of mosquito-borne disease in the United States and is most commonly spread through an infected mosquito bite even though other modes of transmission such as breastfeeding, transplacental transmission, organ transplantation, blood transfusion, and laboratory acquisition exist. 1 The virus is a member of the Flavivirus genus, making it closely related to the viruses that cause yellow fever, dengue fever, and St Louis encephalitis. 2 The virus was first discovered in Uganda in 1937 and first reported in North America in 1999. 3 Since then, thousands of cases are reported each year with major outbreaks in August and September. 4 To diagnose WNV as the underlying etiology of encephalitis, it is informative to obtain cerebrospinal fluid (CSF) for detection of WNV IgM antibody in addition to the serum antibodies. 5 West Nile virus is the most common cause of viral encephalitis in the United States and is considered a significant contributing cause for numerous cases of neurological dysfunction in the nearest future. 6 According to the US Center for Disease Control and Prevention, approximately 80% of infected people are asymptomatic or have mild symptoms. 7 All ages are affected with highest incidence