Acute Flaccid Myelitis Caused by Enterovirus Infection- A Case Report

Authors

Ahmad Bilal, The Children’s Hospital & University of Child Health Sciences, Lahore
Tipu Sultan, The Children’s Hospital & University of Child Health Sciences, Lahore
Zia Ur Rehman, The Children’s Hospital & University of Child Health Sciences, Lahore
Arshad Mehmood, The Children’s Hospital & University of Child Health Sciences, Lahore.
Amber Shabir, The Children’s Hospital & University of Child Health Sciences, Lahore.
Javeria Raza, The Children’s Hospital & University of Child Health Sciences, Lahore.

Document Type

Case Report

Abstract

Enterovirus is a member of the Picornaviridae family, an enterovirus. It is suspected of causing a polio-like disorder called acute flaccid myelitis (AFM). This case report aims to present a 10-year-old boy who presented with neurological manifestations of weakness of lower limbs and urinary retention. He had reduced tone, absent reflexes, and palpable bladder. MRI spine revealed inflammation in grey matter of spinal cord. He was treated with high dose steroids and IVIG but no improvement was observed. Enterovirus was isolated from his stool sample. The patient received supportive care and physiotherapy with gradual improvement after months, having no evidence of spasticity. We report this case as a rare non polio virus related acute flaccid myelitis in our local population to highlight the importance of alternative diagnosis leading to timely recognition and early management.

Recommended Citation

Bilal, Ahmad; Sultan, Tipu; Ur Rehman, Zia; Mehmood, Arshad; Shabir, Amber; and Raza, Javeria (2024) "Acute Flaccid Myelitis Caused by Enterovirus Infection- A Case Report," Pakistan Journal of Neurological Sciences (PJNS): Vol. 19: Iss. 3, Article 14.
Available at: https://ecommons.aku.edu/pjns/vol19/iss3/14