Saratov JOURNAL of Medical and Scientific Research

acute flaccid paralysis

Clinical and diagnostic characteristics of patients with suspected polyneuropathy

Year: 2013, volume 9 Issue: №3 Pages: 501-504
Heading: Infectious Diseases Article type: Original article
Authors: Mikhailova Е.V., Zaitseva I.A., Karalsky S.A., Karalskaya Zh.Zh., Kaschaev B.A.
Organization: Saratov State Medical University
Summary:

Objective: to study the causes and clinical manifestations of disease in children referred for hospitalization in children infectious diseases hospital in Saratov with a diagnosis of «acute flaccid paralysis». Material and methods: 157 children with the diagnosis on admission of the guide «acute flaccid paralysis». Conducted clinical examination and laboratory tests included a general analysis of cerebrospinal fluid, urine, virological examination of nasal swabs and faeces, with the definition of a serological ELISA method and RPHA immunoglobulins to influenza, rubella, and enterovirus, immunological study of blood, cerebrospinal fluid PCR, electromyography of the affected limbs. Results. 77 patients (49%) with the disease associated with the violation of the musculoskeletal system were registered. In the other cases revealed polyneuropathy was not of poliovirus etiology. Etiological nature of the disease could be explained by 54% of patients. In 37 (46%) patients the diagnosis was formulated in accordance with the severity of paralysis. One child was diagnosed with a vaccine-associated poliomyelitis. Conclusion. The diagnosis of «acute flaccid paralysis» used as administered requires a detailed interpretation in a hospital.

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