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Case Reports
. 2019 Dec 1;117(6):e664-e669.
doi: 10.5546/aap.2019.e664.

[Acute flaccid paralysis related to enterovirus with complete resolution of the neurological symptoms. A pediatric case report]

[Article in Spanish]
Agustina Teves Echazú  1 , Javier A Fain  2 , Rodolfo P Moreno  2 , Alberto Hernández  2 , Patricia G Topp  2 , Liliana Vázquez  3 , Gustavo Cardigni  2
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Free article
Case Reports

[Acute flaccid paralysis related to enterovirus with complete resolution of the neurological symptoms. A pediatric case report]

[Article in Spanish]
Agustina Teves Echazú et al. Arch Argent Pediatr. .
Free article

Abstract

Since the wild poliovirus no longer circulates, the number of cases of acute flaccid paralysis decreased. However, cases related to non-polio enteroviruses and neurotrope viruses continue to occur. We present a nine-year-old patient with meningitis and myelitis with motor involvement in the lower limbs and neurogenic bladder associated with enterovirus, with complete resolution of the neurological symptoms following the administration of hyperimmune gammaglobulin.

Keywords: acute flaccid paralysis; enterovirus; gammaglobulins; myelitis.

Plain language summary

Desde la eliminación de la circulación del virus polio salvaje, disminuyeron los casos de parálisis fláccida aguda. Sin embargo, continúan ocurriendo casos asociados a otros enterovirus no polio y virus neurotropos. Se presenta el caso de una paciente de 9 años con diagnóstico de meningitis y mielitis con compromiso motor en los miembros inferiores y vejiga neurogénica asociado a enterovirus, con resolución completa del cuadro neurológico posterior a la administración de gammaglobulina hiperinmune.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Organización Panamericana de la Salud, Organización Mundial de la Salud. Las Américas cumplen 25 años sin polio. 2016. [Acceso: 30 de julio de 2018]. Disponible en: https://www.paho.org/hq/index.php?option=com_content&view=article&am....
    1. Organización Panamericana de la Salud, Organización Mundial de la Salud. Actualización epidemiológica. Detección de poliovirus vacunal, Sabin tipo 3, en un caso de parálisis fláccida aguda. 2018. [Acceso: octubre de 2018]. Disponible en: https://www.paho.org/hq/index.php?option=com_docman&view=download&am....
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    1. Greninger AL, Naccache SN, Messacar K, Clayton A, et al. A novel outbreak enterovirus D68 strain associated with acute flaccid myelitis cases in the USA (2012-14): a retrospective cohort study. Lancet Infect Dis. 2015; 15(6):671-82.
    1. Pérez MG, Rosanova MT, Freire MC, Paz MI, et al. Aumento inusual de casos de mielitis en un hospital pediátrico en Argentina. Arch Argent Pediatr. 2017;115(4):364-9.

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