May 24, 2010
One mosquito bite can change a life - Dallas man's story of survival
Source: SHERRY JACOBSON / The Dallas Morning News
J.Sean Lemoine grew up in the swamps of Louisiana, so he never worried much about mosquito bites.
Until that day
last August, when his ankles were being devoured by mosquitoes as he was
trying to repair the front porch of his East
Dallas home. After a couple seconds of useless swatting,
the 37-year-old lawyer dashed inside for a quick spray of bug
repellent. But it was too late. The mosquitoes had done their
damage. Within a few
days, Lemoine began feeling the first symptoms of West Nile virus –
fever, chills and upset stomach. No one can say why he went on to
develop an extremely rare, life-threatening case. But the fact
that it happened to him, and could happen to someone else this summer,
prompted Lemoine to work with county officials and preach the benefits
of using insect repellant. "People need to spray their kids and
themselves whenever they're in mosquito-infested areas," he said. "I'm
from Louisiana. I've been eaten up by mosquitoes all my life. But when
you get this virus, it's a long road back." Last year, Lemoine
gradually lost his ability to walk, talk and even breathe on his own.
For six months, he fought for his life in two Dallas hospitals, all
because of a little mosquito bite. "His chance of survival was 14
to 15 percent at one point," recalled his sister, Dr. Tara Lemoine, a
pediatric fellow who moved to Dallas from Salt Lake City to oversee his
medical care. "It went from really bad to awful to the worst by
the end of October," she recalled of her brother's condition in the
first two months. "He couldn't hold a pen or squeeze my finger. I could
get more strength out of an infant." Lemoine was among the rarest
of West Nile victims because of his relative youth and the seriousness
of his symptoms. He suffered not only encephalitis, or swelling of
the brain, but also respiratory failure that required mechanical
ventilation for five months. He also developed poliomyelitis, which
attacked his nervous system and caused paralysis. Such severe West
Nile infections usually occur in people over age 50, said Dr. Wendy
Chung, chief epidemiologist for Dallas County Health and Human Services.
Her staff has tracked nearly 300 serious West Nile cases in the
county since 2002, the year the virus first showed up in Texas.
West Nile, a virus harbored in birds and spread to humans by mosquito
bites, made its initial U.S. appearance in the summer of 1999. It
was detected first in dead birds in New York City, but eventually spread
to people and moved methodically across the country. The virus
can be carried by more than 65 mosquito species, but the primary
spreader is the southern house mosquito, whichfeeds on humans and birds.
This breed is active in the summer and fall and tends to stay close to
the house. "It likes a hot, dry climate," said county entomologist
Morgan Kohut, who leads a crew of workers that traps and tests
mosquitoes for West Nile all summer long. Since 2002, there have
been 13 West Nile-related deaths in Dallas County, 131 in Texas and
1,163 in the U.S., according to government reports. The virus
appeared to peak here in 2006 with 67 severe infections and four deaths
countywide. Officials fear that a decline in recent cases might be
causing people to ignore the county's warnings about preventing mosquito
bites. "We have to remind people that this is a real threat,"
said Blanca Cantu, the county's public information officer. "People
don't realize how devastating this can be." But not everybody gets
sick. The virus causes no symptoms in about 80 percent of the people
who are infected. Another 20 percent suffer only mild symptoms such as a
headache or slight fever. About one in 150 infected people will
develop more severe symptoms, including fever, malaise, headache, neck
stiffening and altered mental status that send them to the doctor or
hospital, Chung said. "There's still no treatment for West Nile,"
she said, "which is another reason why prevention is so important." Last
year, Lemoine was among 13 Dallas County residents diagnosed with
serious West Nile infections. One person died. Even though Lemoine
was still in a wheelchair and had a breathing tube, he joined a recent
news conference to unveil the county's West Nile prevention plan. He
made a convincing spokesman. Lemoine is still on the road to
recovery, guided by six hours of physical, occupational and speech
therapy daily at the Baylor Institute for Rehabilitation. He has
relearned the simple tasks of daily living from getting out of bed to
taking a shower to dressing himself. "Sean was so weak when we
started working with him that it took two or three people to help him
stand up," said Lee McAfee, his occupational therapist. "Now, he
goes from sitting to standing with the help of one person." Lemoine
has been home with his wife, Elizabeth, and their two young children
for about three months now. He's slowly building up strength and
stamina to return to his job at Wick, Phillips, Gould and Martin, a
Dallas law firm where he is a partner specializing in business
litigation. "My goal is to try a jury trial in 2011," he said. Until
then, he's moving forward slowly and with a new respect for how a
mosquito bite can change your life. "It's a tough little bugger,"
he said with a laugh. "But I'm an old junkyard dog."





