“…Diagnosis of WNV in horses is currently based on observation of compatible clinical signs, such as ataxia, paresis, paralysis, hyperesthesia, muscle fasciculations, seizures, or fever 5,16,17,[21][22][23] and on one or more of the following: isolation or reverse transcriptasepolymerase chain reaction (RT-PCR) detection of WNV from tissue, blood, or cerebrospinal fluid (CSF); a 4-fold increase in plaque reduction neutralization test (PRNT) antibody titers between paired serum samples taken 2 weeks apart; detection of IgM antibody to WNV by IgM-capture enzyme-linked immunosorbent assay (ELISA) or a neutralizing titer of Ͼ1:10 by PRNT in a single serum sample. However, widespread use of a WNV vaccine coupled with multiple years of natural exposure may make interpretation of PRNT serological results less definitive.…”