Acute Transverse Myelitis Caused by Echovirus 11 in a Pediatric Patient: Case Report and Review of the Current Literature. (12th January 2018)

• Record Type: Journal Article
• Authors: Moline, Heidi L.; Karachunski, Peter I.; Strain, Anna; Griffith, Jayne; Kenyon, Cynthia; Schleiss, Mark R.
• Is Part Of: Child neurology open. Volume 5(2018)
• Publication Date: 2018-01-12
• Subjects: encephalitis -- epidemiology -- magnetic resonance imaging -- MRI -- pediatric -- enterovirus -- acute flaccid myelitis -- viral meningoencephalitis; Pediatric neurology -- Periodicals; 618.928005
• DOI: 10.1177/2329048X17751526
• Languages: English
• ISSNs: 2329-048X

Abstract

A 12-year-old boy presented with acute flaccid weakness of the right upper extremity and was found to have acute flaccid myelitis with transverse myelitis involving the cervical cord (C1-T1). An interdisciplinary team-based approach was undertaken, including input from a generalist, an infectious diseases physician, and a pediatric neurologist. Consultation was sought from the Minnesota Department of Health to investigate for a potential etiology and source of the responsible infection. Evaluation for an infectious etiology demonstrated infection with human echovirus 11. The patient recovered with some disability. Echovirus 11 is among the more common etiologies of acute flaccid myelitis and should be considered in the differential diagnosis of this increasingly recognized pediatric infection.