A Payette County woman in her 40s is now Idaho’s second case of human West Nile Virus cases this season, and she’s suffering from the more dangerous, neuroinvasive form of the virus. Southwest District Health reports that the woman is hospitalized; her symptoms began around July 10, and she’s still recovering.

The neuroinvasive form of the virus is marked by a rapid onset of a high fever, headache, neck stiffness, body aches, disorientation, and tremors; most patients require hospitalization. The Idaho Department of Health & Welfare has more info here about West Nile Virus and how to avoid getting it from a mosquito bite.