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

Arch Argent Pediatr. 2019 Dec 1;117(6):e664-e669. doi: 10.5546/aap.2019.e664.
[Article in Spanish]

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.

Publication types

  • Case Reports

MeSH terms

  • Child
  • Enterovirus Infections / diagnosis*
  • Enterovirus Infections / drug therapy
  • Enterovirus Infections / pathology
  • Female
  • Humans
  • Meningitis, Viral / drug therapy
  • Meningitis, Viral / virology*
  • Myelitis / drug therapy
  • Myelitis / virology*
  • Paralysis / drug therapy
  • Paralysis / virology*
  • Urinary Bladder, Neurogenic / drug therapy
  • Urinary Bladder, Neurogenic / virology
  • gamma-Globulins / administration & dosage

Substances

  • gamma-Globulins