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==Prognosis== While the general prognosis is favorable, current studies indicate that West Nile Fever can often be more severe than previously recognized, with studies of various recent outbreaks indicating that it may take as long as 60 to 90 days to recover.<ref name=Carson06/><ref>{{cite journal |vauthors=Watson JT, Pertel PE, Jones RC, etal |title=Clinical characteristics and functional outcomes of West Nile Fever |journal=Ann. Intern. Med. |volume=141 |issue=5 |pages=360β5 |date=September 2004 |pmid=15353427 |doi=10.7326/0003-4819-141-5-200409070-00010|s2cid=5779034 }}</ref> Patients with milder WNF are just as likely as those with more severe manifestations of neuroinvasive disease to experience multiple [[Somatic nervous system|somatic]] complaints such as tremor, and dysfunction in [[motor skill]]s and [[executive functions]] for over a year. People with milder symptoms are just as likely as people with more severe symptoms to experience adverse outcomes.<ref>{{cite journal |vauthors=Klee AL, Maidin B, Edwin B, etal |date=Aug 2004 | title = Long-term prognosis for clinical West Nile virus infection | journal = Emerg Infect Dis | volume = 10 | issue = 8| pages = 1405β11 | pmid = 15496241 | doi = 10.3201/eid1008.030879 | pmc = 3320418 }}</ref> Recovery is marked by a long [[convalescence]] with [[Fatigue (medical)|fatigue]]. One study found that neuroinvasive WNV infection was associated with an increased risk for subsequent kidney disease.<ref>{{cite journal |author=Nolan MS, Podoll AS, Hause AM, Akers KM, Finkel KW, Murray KO |title=Prevalence of chronic kidney disease and progression of disease over time among patients enrolled in the Houston West Nile virus cohort |journal=PLOS ONE |volume=7 |issue=7 |pages=e40374 |year=2012 |pmid=22792293 |pmc=3391259 |doi=10.1371/journal.pone.0040374 |editor1-last=Wang |editor1-first=Tian|bibcode=2012PLoSO...740374N |doi-access=free }}</ref><ref>{{cite web |url= http://guardianlv.com/2012/08/new-study-reveals-west-nile-virus-is-far-more-menacing-harms-far-more-people/ |title= New Study Reveals: West Nile virus is far more menacing & harms far more people |date= 26 August 2012 |work= The Guardian Express |access-date= 26 August 2012 |url-status= live |archive-url= https://web.archive.org/web/20121006012354/http://guardianlv.com/2012/08/new-study-reveals-west-nile-virus-is-far-more-menacing-harms-far-more-people/ |archive-date= 6 October 2012 }}</ref>
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