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Published on: July 24, 2016
Enteroviral meningitis and concurrent peripheral motor axonal polyneuropathy
Daniel E Dulek1, Peter D Donofrio, James J Sejvar
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.
The Pediatric Infectious Disease Journal
|October 22, 2011
Summary
Enteroviral infections can cause paralysis, but axonal polyneuropathy is rare. This case highlights echovirus type 9 causing meningitis and concurrent flaccid paralysis in a child.
Area of Science:
- Neurology
- Infectious Diseases
- Virology
Background:
- Enteroviral infections are known to cause acute flaccid paralysis, typically through anterior myelitis.
- The association between enteroviruses and axonal polyneuropathy is less commonly documented.
Observation:
- An 8-year-old boy presented with symmetric, ascending flaccid paralysis.
- The patient was diagnosed with viral meningitis caused by echovirus type 9.
Findings:
- The case describes a concurrent presentation of echovirus type 9 meningitis and acute flaccid paralysis.
- This suggests a potential link between echovirus type 9 and the development of axonal polyneuropathy.
Implications:
- This case expands the known clinical spectrum of echovirus type 9 infections.
- Further research is warranted to understand the mechanisms underlying enteroviral-induced axonal polyneuropathy.
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