The number of West Nile cases is up by two in Tennessee. Another two cases were reported in the Memphis area, bringing the state's today to 21 on the year. Many of the cases have been concentrated in West Tennessee, but some have been reported in the mid-state. West Nile can cause flu-like symptoms along with a skin rash. In severe cases of the mosquito carried virus, paralysis, coma, vision loss and even death have been reported.