I have a super fascinating client that I'm trying to decide if is an appropriate candidate for IDN. He is a 40 some year-old male presenting to me in clinic for shoulder complaints. He was severely ill after contracting West Nile virus about 2 months ago, then after he recovered noticed he could no longer raise his arm up with ongoing weakness.  He has the most prominent scapula I've ever seen with what presents as not only LTN palsy / winging, but also suprascapular N palsy (minimal-no ER strength) and visibly evident muscle atrophy.  I chatted with his PCP about above findings, and he is going to order an EMG. 

Would love any thoughts. Neuroinvasive WNV is rare from what I've gathered, and there isn't a lot of research on prognosis as it can widely vary. Although WNV is not spread through direct contact, I did see that recommendations include avoiding blood transfusions or organ donation for 3 months just as slight infection risk, so was thinking regardless if I deem appropriate candidate for needling would wait 3 months in case of accidental prick injury. 

Thanks in advance!