Anyone have a picture to share or know how to get one?

I would appreciate it.

THANKS!

I even tried google.com where you can specifically search for "images" but nada.

HA! I guess no one will stop me, eh?

He said it was always a pleasure when he went to work... and pulled up in the parking lot... and there were people standing around dressed up like salt shakers.

(Salt shakers= his song Margaritaville... in case you don't know Jimmy Buffett.. and in case you never got to go to his concerts where everyone dresses up like... well.. like FRUITCAKES, parrot heads, pirates, hulla girls, etc!)

Now WHAT does that have to do with this topic?

NOT A THING!

BUT... coming here... with all you sweet folks to see... well.. it is kinda like that feeling he must get when he goes to work.

You all give me many many giggles and many smiles.

Thank you for taking time to make me smile JUST because you care enough to respond.

You are my favorite fruitcakes and I do love you!

No connection and he even sued several years ago to get them to change their name, but, to no avail. Anyway it's one good place to eat especially Cheeseburgers and the atmosphere, outside and all and in Paradise to boot has always made it a good stop for tourists and locals alike.

C'ya,

Rosemary

The following are additional findings outside the United States:

A truncal maculopapular rash may be present in nearly half of patients (overseas experience), but this is not a common feature in the United States (New York experience).

Generalized adenopathy and an enlarged submental node are common.

Consider WNE in patients who have encephalitis and otherwise unexplained extremity weakness and/or paralysis.

http://www.emedicine.com/med/topic3160.htm

I think it was on that link that I read that only 50% or WNV patients get the rash.

Rosemary

Klein, C.; Kimiagar, I.; Pollak, L.; Gandelman-Marton, R.; Itzhaki, A.; Milo, R.; Rabey, J.M. Neurological features of West Nile Virus infection during the 2000 outbreak in a regional hospital in Israel. Journal of the Neurological Sciences. 2002 Aug 15; 200(1-2): 63-6. ISSN: 0022-510X.

Descriptors: West Nile virus, Israel, disease symptoms, encephalitis, seasonal rates, bird migration pathways.

Abstract: During the summer of 2000, 35 patients with West Nile Virus Fever were admitted to our hospital. Of these, the 26 (21 adults, mean age 56 (19-86) and 5 children (aged 9-15)) presented have neurological involvement, 33% with meningitis, 52% with meningoencephalitis, 10% with encephalitis and 5% with acute polyneuropathy. Presenting clinical features were fever in 95% of cases, headache in 90%, nausea/vomiting in 52%, confusion in 48%, somnolence in 38%, neck stiffness in 33%, a skin rash in 19%, diarrhea in 14%, cervical pain in 14%, seizure in 9%, photophobia in 9% and limb weakness in 4%. Leucopenia was not found. Two patients diagnosed with meningoencephalitis died. Three patients had signs of an acute polyneuropathy, this being the only complaint of one patient. The EEG was abnormal in all cases of meningitis or meningoencephalitis, except in three cases. Outbreaks of West Nile Virus Fever are emerging as a worldwide disease with high rates of neurological involvement and death. It should be considered in cases presenting with aseptic meningoencephalitis, meningitis and acute polyneuropathy, especially during the summer months and in areas along bird migration pathways.

Anywhooo,

Re: West Nile virus - sometimes - "A skin rash, present in a minority of patients, was described as an *erythematous macular, papular, or morbilliform eruption* involving the neck, trunk, arms, or legs (1, 23).
http://www.annals.org/cgi/content/full/137/3/173

For some pictures of rashes:
http://www.aafp.org/afp/20000815/804.html

Measles is classified as morbillivirus of the family Paramyxoviridae. The highly contagious infectious disease presents with an *erythematous macular-papular eruption (morbilliform rash)* approximately 14 days after exposure.

Re: Erythema Infectiosum (Fifth Disease)

Skin (second stage): Within 1-4 days of the malar rash, an *erythematous macular-to-morbilliform eruption occurs primarily on the extremities*. While the eruption tends to favor the extensor surfaces, it can involve the palms and soles. Pruritus is rare.

Skin (third stage): After several days, most of the second stage eruption fades into a lacy pattern, with particular emphasis on the proximal extremities. Despite its synonym, slapped-cheek disease, the reticulate pattern is distinctly characteristic for erythema infectiosum and may be the only manifestation of the illness. The third stage lasts from 3 days to 3 weeks.

After starting to fade, the exanthem may recur over several weeks following physical stimuli, such as exercise, sun exposure, friction, bathing in hot water, or stress.
Joints: When adults are exposed to PV-B19, an acute polyarthropathy is more likely to result than classic erythema infectiosum. Polyarthropathy may start with a typical prodromal illness and some cutaneous aspect of erythema infectiosum but more often manifests simply by a new onset of symmetric joint pain.

Arthropathy is more common in women and can last for days to months. Sites most commonly affected include joints of the hands, wrists, knees, and ankles. Unlike rheumatoid arthritis, joint pain worsens over the day, and no joint destruction occurs. The synovial fluid is acellular and devoid of viral particles.
http://www.emedicine.com/derm/topic136.htm

Bottom line: many viruses (and some reactions to abx.) present a very similar rash.

Asnis, D S; Conetta, R; Waldman, G; Teixeira, A A. The West Nile virus encephalitis outbreak in the United States (1999-2000): from Flushing, New York, to beyond its borders. Annals of the New York Academy of Sciences. 2001 Dec; 951: 161-71. ISSN: 0077-8923.

NAL Call No.: 500 N484

Descriptors: disease history in Western Hemisphere; flavivirus; endemic in Africa and Middle East, and S.W. Asia; New York City outbreak, epidemiology.

Abstract: Viruses cause most forms of encephalitis. The two main types responsible for epidemic encephalitis are enteroviruses and arboviruses. The City of New York reports about 10 cases of encephalitis yearly. Establishing a diagnosis is often difficult. In August 1999, a cluster of five patients with fever, confusion, and weakness were admitted to a community hospital in Flushing, New York. Flaccid paralysis developed in four of the five patients, and they required ventilatory support. Three, less severe, cases presented later in the same month. An investigation was conducted by the NewYork City (NYC) and New York State (NYS) health departments and the national Centers for Disease Control and Prevention (CDC). The West Nile virus (WNV) was identified as the etiologic agent. WNV is an arthropod-borne flavivirus, with a geographic distribution in Africa, the Middle East, and southwestern Asia. It has also been isolated in Australia and sporadically in Europe but never in the Americas. The majority of people infected have no symptoms. Fever, severe myalgias, headache, conjunctivitis, lymphadenopathy, and a roseolar rash can occur. Rarely, encephalitis or meningitis is seen. The NYC outbreak resulted in the first cases of WNV infection in the Western Hemisphere and the first arboviral infection in NYC since yellow fever in the nineteenth century. The WNV is now a public health concern in the United States.