The complete acute and post-acute care course of children affected by acute flaccid myelitis in Western Pennsylvania: A case series

Author:

Beardsley Jessica1,McCoy Andrew1,Freeman Megan2,Cramer Natan3,Neville Desiree3,Owusu-Ansah Silvia3,Houtrow Amy4,Sinha Amit4

Affiliation:

1. UPMC Physical Medicine and Rehabilitation, Pittsburgh, PA, USA

2. Pediatric Infectious Disease, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

3. Pediatric Emergency Medicine, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

4. Pediatric Rehabilitation Medicine, UPMC Children’s Hospital of Pittsburgh, Pittsburgh, PA, USA

Abstract

Acute flaccid myelitis (AFM) is a “polio-like” neurologic disorder of the spinal cord gray matter characterized by asymmetric, flaccid limb weakness of rapid onset following prodromal viral illness. It has affected the pediatric population of the United States since 2014, but there is a paucity of literature describing the post-acute comprehensive rehabilitation management that maximizes functional outcomes for patients. This case series attempts to mitigate this by describing the complete acute and post-acute care course of six children diagnosed with AFM in Western Pennsylvania. It is critical that pediatric rehabilitation medicine providers be knowledgeable about the complex medical and rehabilitation management for patients with AFM.

Publisher

IOS Press

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Pediatrics, Perinatology and Child Health

Reference29 articles.

1. Acute flaccid myelitis: Something old and something new;Morens;mBio,2019

2. AFM Cases and Outbreaks [Internet] Centers for Disease Control and Prevention; 2020 [cited 2020 Apr 1]. Available from: https://www.cdc.gov/acute-flaccid-myelitis/cases-in-us.html.

3. Comparative quantitative clinical, neuroimaging, and functional profiles in children with acute flaccid myelitis at acute and convalescent stages of disease;Gordon-Lipkin;Dev Med Child Neurol,2019

4. MRI findings in children with acute flaccid paralysis and cranial nerve dysfunction occurring during the enterovirus D68 outbreak;Maloney;AJNR Am J Neuroradiol,2015

5. Acute Flaccid Myelitis: A Clinical Overview for 2019;Fatemi;Mayo Clin Proc,2019

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