학술논문
New Cluster of Acute Flaccid Myelitis in Western Pennsylvania.
Document Type
Academic Journal
Author
Cramer N; Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Munjal N; Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.; Ware D; Family Medicine, UPMC St. Margaret, Pittsburgh, PA.; Ramgopal S; Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Simon D; Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.; Freeman MC; Department of Pediatrics, Division of Pediatric Infectious Diseases, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Michaels MG; Department of Pediatrics, Division of Pediatric Infectious Diseases, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Stem C; Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Thakkar K; Department of Pediatrics, Division of Child Neurology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Williams JV; Department of Pediatrics, Division of Pediatric Infectious Diseases, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Panigrahy A; Department of Pediatric Radiology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Neville DNW; Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.; Owusu-Ansah S; Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA. Electronic address: sylvia.owusuansah@chp.edu.
Source
Publisher: Mosby Country of Publication: United States NLM ID: 8002646 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1097-6760 (Electronic) Linking ISSN: 01960644 NLM ISO Abbreviation: Ann Emerg Med Subsets: MEDLINE
Subject
Language
English
Abstract
Acute flaccid myelitis is a debilitating illness characterized by acute onset of limb weakness, with one or more spinal segments displaying magnetic resonance imaging-confirmed gray matter lesions. Since the first outbreak in 2014, tracking by the Centers for Disease Control and Prevention has demonstrated biennial epidemics in the United States, with a current outbreak occurring in 2018. The cases of 3 children with acute flaccid myelitis who were initially thought to have common nonneurologic diagnoses are presented. Emergency physicians need to be vigilant to recognize the subtleties of acute flaccid myelitis because the illness progression is rapid and therapy is nuanced.
(Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.)
(Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.)