Fever, Myositis, and Paralysis: Is This Inflammatory Myopathy or Neuroinvasive Disease?
المؤلفون المشاركون
Wu, Kim M.
Clements, Philip J.
Heinze, Emil R.
Kiran, Aneeta R.
Lau, Richard A.
Wong, Andrew L.
المصدر
العدد
المجلد 2016، العدد 2016 (31 ديسمبر/كانون الأول 2016)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2016-03-28
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
West Nile virus (WNV) is a mosquito-borne RNA Flavivirus which emerged in North America in 1999.
Most patients present with a febrile illness but a few develop WNV neuroinvasive disease.
Myopathy is an uncommon manifestation.
We describe a case of a 42-year-old male from Los Angeles who presented with 8 days of fever and muscle pain.
Initial physical exam was normal except for 4/5 muscle strength testing in his extremity proximal muscles.
Laboratory revealed a creatine kinase of 45,000 and a urinalysis with large blood but no red blood cells, suggesting rhabdomyolysis.
The patient’s condition declined despite aggressive supportive care and hydration, and on hospital day #6 he developed severe altered mental status and progressed to complete right arm paralysis and 2/5 muscle strength in bilateral legs.
EMG/NCS showed sensorimotor axonal polyneuropathy and the cerebrospinal fluid was positive for IgM and IgG WNV antibodies.
The patient was diagnosed with WNV neuroinvasive disease, poliomyelitis (and encephalitis) type with myopathy/muscle involvement.
He was treated supportively and his muscle and neurologic disease gradually improved.
At 12-month follow-up his muscle enzymes had normalized and his weakness had improved to 5/5 strength in bilateral legs and 3/5 strength in the right arm.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kiran, Aneeta R.& Lau, Richard A.& Wu, Kim M.& Wong, Andrew L.& Clements, Philip J.& Heinze, Emil R.. 2016. Fever, Myositis, and Paralysis: Is This Inflammatory Myopathy or Neuroinvasive Disease?. Case Reports in Rheumatology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102651
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kiran, Aneeta R.…[et al.]. Fever, Myositis, and Paralysis: Is This Inflammatory Myopathy or Neuroinvasive Disease?. Case Reports in Rheumatology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1102651
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kiran, Aneeta R.& Lau, Richard A.& Wu, Kim M.& Wong, Andrew L.& Clements, Philip J.& Heinze, Emil R.. Fever, Myositis, and Paralysis: Is This Inflammatory Myopathy or Neuroinvasive Disease?. Case Reports in Rheumatology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1102651
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1102651
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر