Outbreak of poliomyelitis-like paralysis associated with enterovirus 71
In the summer of 1987 five children were seen at The Childrenʼs Hospital of Philadelphia because of acute onset of flaccid paralysis of an arm or leg(s). Although there were documented exposures to oral poliovirus vaccine and coxsackievirus B3 in some of the cases, the clinical, epidemiologic and la...
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| Veröffentlicht in: | The Pediatric infectious disease journal 1989-09, Vol.8 (9), p.611-615 |
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| container_issue | 9 |
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| container_title | The Pediatric infectious disease journal |
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| creator | HAYWARD, JEAN C GILLESPIE, SHEILA M KAPLAN, KAREN M PACKER, ROGER PALLANSCH, MARK PLOTKIN, STANLEY SCHONBERGER, LAWRENCE B |
| description | In the summer of 1987 five children were seen at The Childrenʼs Hospital of Philadelphia because of acute onset of flaccid paralysis of an arm or leg(s). Although there were documented exposures to oral poliovirus vaccine and coxsackievirus B3 in some of the cases, the clinical, epidemiologic and laboratory findings indicate that enterovirus 71 was the common etiologic agent for this unusual outbreak of poliomyelitislike paralysis. Of the five children three recovered completely; the other two had residual paralysis with weakness and muscle wasting. Imaging studies of the spinal cord in the two children with residual paralysis revealed defects in the ventral aspect of the spinal cord. This series of paralytic cases attributed to enterovirus 71 is the largest reported in the United States. |
| doi_str_mv | 10.1097/00006454-198909000-00009 |
| format | Article |
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Although there were documented exposures to oral poliovirus vaccine and coxsackievirus B3 in some of the cases, the clinical, epidemiologic and laboratory findings indicate that enterovirus 71 was the common etiologic agent for this unusual outbreak of poliomyelitislike paralysis. Of the five children three recovered completely; the other two had residual paralysis with weakness and muscle wasting. Imaging studies of the spinal cord in the two children with residual paralysis revealed defects in the ventral aspect of the spinal cord. This series of paralytic cases attributed to enterovirus 71 is the largest reported in the United States.</description><identifier>ISSN: 0891-3668</identifier><identifier>EISSN: 1532-0987</identifier><identifier>DOI: 10.1097/00006454-198909000-00009</identifier><identifier>PMID: 2797956</identifier><identifier>CODEN: PIDJEV</identifier><language>eng</language><publisher>Baltimore, MD: Williams & Wilkins</publisher><subject>Biological and medical sciences ; Child ; Diagnosis, Differential ; Disease Outbreaks ; Enterovirus Infections - epidemiology ; Female ; Follow-Up Studies ; Human viral diseases ; Humans ; Infant ; Infectious diseases ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Neurologic Examination ; Paralysis - epidemiology ; Paralysis - etiology ; Philadelphia ; Spinal Cord - pathology ; Tomography, X-Ray Computed ; Viral diseases ; Viral diseases of the nervous system</subject><ispartof>The Pediatric infectious disease journal, 1989-09, Vol.8 (9), p.611-615</ispartof><rights>Williams & Wilkins 1989. 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Although there were documented exposures to oral poliovirus vaccine and coxsackievirus B3 in some of the cases, the clinical, epidemiologic and laboratory findings indicate that enterovirus 71 was the common etiologic agent for this unusual outbreak of poliomyelitislike paralysis. Of the five children three recovered completely; the other two had residual paralysis with weakness and muscle wasting. Imaging studies of the spinal cord in the two children with residual paralysis revealed defects in the ventral aspect of the spinal cord. This series of paralytic cases attributed to enterovirus 71 is the largest reported in the United States.</description><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Diagnosis, Differential</subject><subject>Disease Outbreaks</subject><subject>Enterovirus Infections - epidemiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Neurologic Examination</subject><subject>Paralysis - epidemiology</subject><subject>Paralysis - etiology</subject><subject>Philadelphia</subject><subject>Spinal Cord - pathology</subject><subject>Tomography, X-Ray Computed</subject><subject>Viral diseases</subject><subject>Viral diseases of the nervous system</subject><issn>0891-3668</issn><issn>1532-0987</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU2PEzEMQCMEWsrCT0CaA-I2kMzky0e0YheklfYC58jNuGpo2pR4hqr_niktvSFysWI_O8qzEI2SH5QE91HOx2qjWwUeJMy39pSCZ2KhTN-1Erx7LhbSg2p7a_1L8Yr5x0z0WskbcdM5cGDsQjw8TeOyEm6asmr2JaeyPVJOY-I2pw01e6yYj5y4QeYSE440NIc0rhvajVTLr1Qnbpx6LV6sMDO9ucRb8f3-87e7L-3j08PXu0-PbdTKQKuMhC6CIrkk1CYOFlXntHdSe-yih26IqKIzykRnUWvoFOrlYOZfknTY34r357n7Wn5OxGPYJo6UM-6oTBwcdEba3v8XVEZrY3uYQX8GYy3MlVZhX9MW6zEoGU6yw1_Z4Sr7T-rU-vbyxrTc0nBtvNid6-8udeSIeVVxFxNfMes1SKNnTJ-xQ8mzU97k6UA1rAnzuA7_WnX_G_9tlZI</recordid><startdate>198909</startdate><enddate>198909</enddate><creator>HAYWARD, JEAN C</creator><creator>GILLESPIE, SHEILA M</creator><creator>KAPLAN, KAREN M</creator><creator>PACKER, ROGER</creator><creator>PALLANSCH, MARK</creator><creator>PLOTKIN, STANLEY</creator><creator>SCHONBERGER, LAWRENCE B</creator><general>Williams & Wilkins</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>198909</creationdate><title>Outbreak of poliomyelitis-like paralysis associated with enterovirus 71</title><author>HAYWARD, JEAN C ; GILLESPIE, SHEILA M ; KAPLAN, KAREN M ; PACKER, ROGER ; PALLANSCH, MARK ; PLOTKIN, STANLEY ; SCHONBERGER, LAWRENCE B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4159-15092c91e0bea45cd6a127487048a2c892dca1c7515c76a44921a4bd5890e07a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Diagnosis, Differential</topic><topic>Disease Outbreaks</topic><topic>Enterovirus Infections - epidemiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infant</topic><topic>Infectious diseases</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Neurologic Examination</topic><topic>Paralysis - epidemiology</topic><topic>Paralysis - etiology</topic><topic>Philadelphia</topic><topic>Spinal Cord - pathology</topic><topic>Tomography, X-Ray Computed</topic><topic>Viral diseases</topic><topic>Viral diseases of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAYWARD, JEAN C</creatorcontrib><creatorcontrib>GILLESPIE, SHEILA M</creatorcontrib><creatorcontrib>KAPLAN, KAREN M</creatorcontrib><creatorcontrib>PACKER, ROGER</creatorcontrib><creatorcontrib>PALLANSCH, MARK</creatorcontrib><creatorcontrib>PLOTKIN, STANLEY</creatorcontrib><creatorcontrib>SCHONBERGER, LAWRENCE B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The Pediatric infectious disease journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HAYWARD, JEAN C</au><au>GILLESPIE, SHEILA M</au><au>KAPLAN, KAREN M</au><au>PACKER, ROGER</au><au>PALLANSCH, MARK</au><au>PLOTKIN, STANLEY</au><au>SCHONBERGER, LAWRENCE B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outbreak of poliomyelitis-like paralysis associated with enterovirus 71</atitle><jtitle>The Pediatric infectious disease journal</jtitle><addtitle>Pediatr Infect Dis J</addtitle><date>1989-09</date><risdate>1989</risdate><volume>8</volume><issue>9</issue><spage>611</spage><epage>615</epage><pages>611-615</pages><issn>0891-3668</issn><eissn>1532-0987</eissn><coden>PIDJEV</coden><abstract>In the summer of 1987 five children were seen at The Childrenʼs Hospital of Philadelphia because of acute onset of flaccid paralysis of an arm or leg(s). Although there were documented exposures to oral poliovirus vaccine and coxsackievirus B3 in some of the cases, the clinical, epidemiologic and laboratory findings indicate that enterovirus 71 was the common etiologic agent for this unusual outbreak of poliomyelitislike paralysis. Of the five children three recovered completely; the other two had residual paralysis with weakness and muscle wasting. Imaging studies of the spinal cord in the two children with residual paralysis revealed defects in the ventral aspect of the spinal cord. This series of paralytic cases attributed to enterovirus 71 is the largest reported in the United States.</abstract><cop>Baltimore, MD</cop><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Williams & Wilkins</pub><pmid>2797956</pmid><doi>10.1097/00006454-198909000-00009</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0891-3668 |
| ispartof | The Pediatric infectious disease journal, 1989-09, Vol.8 (9), p.611-615 |
| issn | 0891-3668 1532-0987 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Child Diagnosis, Differential Disease Outbreaks Enterovirus Infections - epidemiology Female Follow-Up Studies Human viral diseases Humans Infant Infectious diseases Magnetic Resonance Imaging Male Medical sciences Neurologic Examination Paralysis - epidemiology Paralysis - etiology Philadelphia Spinal Cord - pathology Tomography, X-Ray Computed Viral diseases Viral diseases of the nervous system |
| title | Outbreak of poliomyelitis-like paralysis associated with enterovirus 71 |
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