Acute flaccid myelitis outbreak through 2016–2018: A multicenter experience from Turkey

التفاصيل البيبلوغرافية
العنوان: Acute flaccid myelitis outbreak through 2016–2018: A multicenter experience from Turkey
المؤلفون: Mesut Güngör, Coskun Yarar, Osman Kipoglu, Gulten Ozturk, Cem Paketçi, Kursat Bora Carman, Betül Kılıç, Murat Özkale, Sema Saltik, Hülya Maraş Genç, Erhan Bayram, Pinar Kahraman Koytak, Gunes Sager, Evrim Karadag Saygi, Uluç Yiş, Mehpare Özkan, Bülent Kara, Gazanfer Ekinci, Nihal Olgaç Dündar, Olcay Ünver, Ugur Isik, Dilsad Turkdogan, Serhat Guler, Hatice Gülhan Sözen, Nur Aydınlı, Elif Yüksel Karatoprak, Mine Çalışkan, Ayfer Sakarya Güneş
المصدر: European Journal of Paediatric Neurology. 30:113-120
بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Male, Enterovirus D-68, Pediatrics, medicine.medical_specialty, Weakness, Adolescent, Turkey, medicine.disease_cause, Disease Outbreaks, 03 medical and health sciences, 0302 clinical medicine, Interquartile range, 030225 pediatrics, medicine, Polio-Like Disease, Humans, Child, Enterovirus, Retrospective Studies, Acute Flaccid Paralysis, medicine.diagnostic_test, business.industry, Infant, Outbreak, Magnetic resonance imaging, Neuromuscular Diseases, General Medicine, Myelitis, Prognosis, Acute flaccid myelitis, Hyperintensity, Child, Preschool, Pediatrics, Perinatology and Child Health, Central Nervous System Viral Diseases, Etiology, Female, Neurology (clinical), medicine.symptom, business, 030217 neurology & neurosurgery
الوصف: Aim We aim to describe the demographic characteristics, etiology, neurophysiology, imaging findings, treatment, prognosis, and prognostic factors of acute flaccid myelitis. Methods The clinical data, laboratory test and, magnetic resonance imaging (MRI) results of pediatric patients diagnosed with acute flaccid myelitis according to the Centers for Disease Control criteria between August 1, 2016, and December 31, 2018, from 13 centers in Turkey were reviewed. Results Of the 34 cases identified, 31 were confirmed (91.2%). Eighteen patients (55.9%) were boys. The median patient age was 4 years (interquartile range 2.5–6.9 years). Most of the patients were admitted in 2018 (n = 27). A preceding history of a febrile illness was reported in all patients, with a median of 4 days (interquartile range 3–7 days) before symptom onset. Thirty-one patients had T2 hyperintensity on spinal MRI, and 18 patients had cerebrospinal fluid pleocytosis. The most common infectious agents were entero/rhinoviruses (n = 5) in respiratory specimens. All patients except one received immunotherapy either alone or in combination. Among 27 patients with follow-up data 24 had persistent weakness. Involvement of four limbs together with an abnormal brain MRI at onset were associated with a poor prognosis. Conclusion The number of patients with acute flaccid myelitis increased since 2012, spiking with every 2-year interval, largely in the pediatric population. The median age decreases with every outbreak. Clinicians should be aware of the clinical picture for early collection of specimens and early start of rehabilitation programs. Further studies are needed to better characterize the etiology, pathogenesis, risk factors, and treatment of this rare condition.
وصف الملف: application/pdf
تدمد: 1090-3798
DOI: 10.1016/j.ejpn.2020.10.011
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::de9976c62c7248003110fb3d24d73423
https://doi.org/10.1016/j.ejpn.2020.10.011
Rights: EMBARGO
رقم الانضمام: edsair.doi.dedup.....de9976c62c7248003110fb3d24d73423
قاعدة البيانات: OpenAIRE
الوصف
تدمد:10903798
DOI:10.1016/j.ejpn.2020.10.011