A Case of Tetraplegia after Proteus mirabilis Infection

[1],[2] Acute respiratory distress syndrome, sepsis (especially in patients with Gram-negative bacteremia), systemic inflammatory response syndrome, and multiple organ failure, prolonged bed rest, medication, and hyperglycemia, are major risk factors for critical illness polyneuropathy and myopathy. [1],[2] Sepsis-related disturbances of the microcirculation in the peripheral nerves and muscles, and the resultant production of cytokines, may increase the permeability of the microvasculature and further exacerbate hypoxemia and energy depletion, following the axonal degeneration of the sensory and motor axons in critical illness polyneuropathy. [3] As the present case also had Gram-negative bacteremia with multiple organ failure, and showed muscle action potential amplitudes of [2] Accordingly, the present case underwent rehabilitation using passive and spontaneous training and a favorable functional outcome was obtained.