Flaccid paralysis is an illness characterized by weakness or paralysis and reduced muscle tone The term acute flaccid paralysis (AFP) is often used to describe a sudden onset, as might be found with polio. AFP is the most common sign of. Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for often confirms wild poliovirus infections in the absence of cases of paralysis. To thoroughly describe the clinical, laboratory, and electrodiagnostic features of this paralysis syndrome, we evaluated acute flaccid paralysis that developed in.

Author: Kagalabar Samugore
Country: Liberia
Language: English (Spanish)
Genre: Science
Published (Last): 21 October 2010
Pages: 262
PDF File Size: 1.79 Mb
ePub File Size: 1.70 Mb
ISBN: 959-3-13238-704-1
Downloads: 28581
Price: Free* [*Free Regsitration Required]
Uploader: Godal

Neck flexors were normal in strength, and sensation was preserved in all limbs; loss of bladder function was evident. Acute flaccid paralysis AFP is an abnormal condition characterized by the weakening or the loss of muscle tone. Using the two-source capture-recapture method to estimate the incidence of acute flaccid paralysis in Victoria, Australia.

Acknowledgment The authors would like to acknowledge the valuable contributions of Dr. However, these reports describe clinical and laboratory features that seem inconsistent with such diagnoses, and the exact cause of acute flaccid paralysis has not been thoroughly assessed with rigorous electrophysiologic, laboratory, and neuroimaging data.

Stangel M, Muller M, Marx P Adverse events during treatment with high-dose intravenous immunoglobulins for neurological disorders.

The completeness and accuracy of reporting was further improved by reviewing hospital discharge records as secondary data sources.


N Engl J Med. Endemic Countries Afghanistan Nigeria Pakistan.

Surveillance Indicators – GPEI

Further management to be undertaken according to relevant guideline for the suspected or confirmed causative agent. Electrodiagnostic studies performed that day were interpreted as showing a proximal neuropathy or myopathy. On July 1,a previously healthy, year-old, male Mississippi resident was hospitalized with a 1-week history of fever, chills, night sweats, myalgias, and acute encephalopathy. Look up flaccid in Wiktionary, the free dictionary.

The Clostridium botulinum bacteria are the cause of botulism. Differential diagnoses included meningoencephalitis with associated motor polyradiculopathy and adalwh secondary to stroke. Nervous and musculoskeletal systems Enterovirus-associated diseases.

If there is an epidemiological link to a confirmed EV71 case, or a high index of clinical suspicion that the case could be EV71 neurological disease, appropriate specimens for EV71 isolation refer to EV71 guideline should be collected as soon as possible after the parqlysis of illness. This is in contrast to an upper motor neuron lesionwhich often presents with spasticityalthough early on this may present with flaccid paralysis.

WHO-recommended standards for surveillance of selected vaccine preventable diseases. Australian Paediatric Surveillance Unit, One-hundred thirty nine children with acute flaccid paralysis aged from 2 months to 14 years were reported to the Center for Diseases Control during — periods. Similarly, WNV-infected horses displayed multifocal polioencephalomyelitis, with involvement of the ventral and lateral horns of the thoracic and lumbar spinal cord 26 Brief descriptions of six patients have suggested that this flaccid paralysis is due to anterior horn cell involvement with a resultant poliomyelitis-like syndrome 7 — 9.

The term acute flaccid paralysis AFP is often used to describe a sudden onset, as might be found with polio. Close contacts of the patients were traced to ensure that they had been fully immunized. How is AFP treated and managed? A bilateral tremor of the upper extremities and jaw was noted Table 2.


Author flaccie Copyright and License information Disclaimer. Footnotes Suggested citation for this article: He was hospitalized on September 6 for acute respiratory failure and intubated.

Acute Flaccid Paralysis and West Nile Virus Infection

Scattered denervation was also seen in the other three limbs. Environmental surveillance often confirms wild poliovirus infections in the absence of cases of paralysis. All patients exhibited features typical for polio, including acute flaccid paralysis without paresthesias or sensory loss, marked asymmetric weakness, diminished or absent deep tendon reflexes in the affected limbs, and weakness that developed during an acute infectious process. Louis encephalitis virus indicated WNV infection Do not wait for determination of cause.

Meanwhile, the increase in notifications suggests an increased rate of enthusiasm in reporting. AFP is the most common sign of acute polioand used paralsis surveillance during polio outbreaks. Failed to submit comment. Postviral demyelination syndrome and viral-induced polyradicultis were considered, and IVIGdexamethasone, and antibacterial and antiviral medications were administered without patient improvement.

Leave a Reply