Outcome of paediatric acute flaccid myelitis associated with enterovirus D68: a case series

We report five cases of AFM in previously typically developing children (2–6y) from South East Scotland during September and October 2016 after infection with EV‐D68 (all detected in the nasopharyngeal aspirates). All cases pr esented with significant neurological symptoms, which were severe in two cases requiring intensive care support because of respiratory paralysis. At 18‐month follow‐up, two cases remain ventilator‐dependent with other cases requiring ongoing community rehabilitation. These cases represent one of the largest reported paediatric cluster of AFM associated with EV‐D68 in Europe. The epidemiology and clinical information add to the knowledge base and the 18‐month outcome will help clinicians to counsel families.What this paper adds Nasopharyngeal aspirate is more sensitive for viral isolation and isolated in all cases. Clinical outcome at 18 months after enterovirus D68 with acute flaccid myelitis provides information on extent of recovery and level of disability.
Source: Developmental Medicine and Child Neurology - Category: Child Development Authors: Tags: Case Series Source Type: research