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A 44-year-old man developed blurry vision,photosensitivity,orthostasis, constipation,and acrodysesthesias after a febrile illness.The neurologic examination and ancillary studies were consistent with a dysautonomic small fiber neuropathy.The cerebrospinal fluid(CSF)contained both Epstein- Barr virus(EBV)DNA and antibody to EBV.This is the first report of an acute autonomic neuropathy with documented EBV infection in CSF. |
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