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[Acute transverse myelitis caused by enterovirus]
L Bohr1, A Paerregaard, N H Valerius
1H:S Hvidovre Hospital, børneafdelingen.
Abstract:
Enteroviruses comprise a group of commonly encountered small RNA viruses with genetic similarities. We report a case of transverse myelitis associated with an enterovirus infection. By use of PCR, enterovirus-specific RNA sequences were detected in the cerebrospinal fluid and in swabs from the throat and the rectum at the time of admission. Routine cultures and serology gave no other explanation for the clinical condition. The patient was treated with intravenous immunoglobulin and steroids and improved gradually. She was fully recovered 18 months after onset of disease.
Insights
Enterovirus infection can cause transverse myelitis, a rare neurological condition. This case study confirms enterovirus presence in a patient who fully recovered after treatment.
Area of Science:
- Virology
- Neurology
- Infectious Diseases
Background:
- Enteroviruses are common RNA viruses with shared genetic traits.
- Transverse myelitis is a neurological disorder affecting the spinal cord.
Observation:
- A patient presented with transverse myelitis.
- Enterovirus infection was suspected as the cause.
Findings:
- PCR detected enterovirus RNA in cerebrospinal fluid, throat, and rectal swabs.
- No other causative agents were identified through routine cultures or serology.
- The patient showed gradual improvement with treatment.
Implications:
- This case highlights enterovirus as a potential cause of transverse myelitis.
- Intravenous immunoglobulin and steroid therapy may aid recovery.
- Full recovery is possible in patients with enterovirus-associated transverse myelitis.