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MattJohn - thanks for the update. If it's not too late, just changing your email password seems to solve the problem for others that were infected.
Mark - are you using any messaging/chat software? If you right click on the bar on the bottom of the screen, do you see anything like messenger.exe? Also, you haven't lost your contacts completely - the email that got sent from your account was sent to all of your contacts, so when you go look at that sent mail, you have a list of your contacts. Getting them re-entered may be a bit of work though.
Ugg. I just got the email from someone else. This thing is spreading FAST.
George - I disagree, but if you can reference some websites that support your claim, I would be happy to change my position. As it is everything I've seen says it is MSN related. According to your suggestion, how do you explain people's online MSN contact lists being used to send the email and then being deleted?