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Ulnar mononeuropathy associated with eosinophilia.

V Kumar¹, K D Sodhi

¹Indian Air Force, Gorakhpur, Uttar Pradesh, India. vk3532@gmail.com

Paediatrics and International Child Health

|April 25, 2012

Summary

A pediatric case of isolated ulnar nerve motor neuropathy and eosinophilia resolved with antiparasitic medication, suggesting a presumed parasitic etiology in children.

Area of Science:

Pediatric Neurology
Infectious Diseases
Clinical Case Study

Background:

Neuropathy in children can have diverse etiologies.
Eosinophilia often indicates parasitic infections or allergic reactions.

Observation:

A 4.5-year-old boy presented with isolated left ulnar nerve motor neuropathy.
The patient exhibited moderate eosinophilia.
No parasitic infection was initially detected.

Findings:

Empirical treatment with diethylcarbamazine citrate and albendazole was initiated.
Clinical improvement was noted within 6 days.
Complete recovery from neuropathy occurred within 2 weeks.

Implications:

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This case suggests that parasitic infections should be considered in pediatric cases of isolated motor neuropathy with eosinophilia, even without initial diagnostic evidence.

Early empirical antiparasitic treatment may lead to rapid recovery.