Abstract
We describe the unusual finding of progressive hypoglycorrhachia associated with West Nile virus meningoencephalitis in a patient with human immunodeficiency virus infection. The finding of hypoglycorrhachia and lymphocytic pleocytosis in the setting of advanced human immunodeficiency virus infection led the medical team to treat for bacterial, mycobacterial, and fungal causes until the etiology of the patient's illness was clarified.
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