Minami K, Tsuda Y, Maeda H, Yanagawa T, Izumi G, Yoshikawa N
Department of Pediatrics, Wakayama Medical University School of Medicine, Wakayama, Japan.
J Paediatr Child Health. 2004 Jan-Feb;40(1-2):66-8. doi: 10.1111/j.1440-1754.2004.00295.x.
A 6-year-old boy developed symptoms of rapidly progressive paraplegia, associated with bowel and urinary dysfunction, but without sensory loss. Magnetic resonance imaging (MRI) examination showed diffuse swelling of the lower spinal cord on T1-weighted images. Based on the clinical presentation and MRI findings, a diagnosis of acute transverse myelitis was made. The serum titer of neutralizing antibody against Coxsackie virus B5 rose from 1/4 on admission to 1/256 1 month later and Coxsackie virus B5 was isolated from stool samples. This case serves as a reminder that acute transverse myelitis can be a rare clinical manifestation of Coxsackie virus B5 infection.
一名6岁男孩出现快速进展性截瘫症状，伴有肠道和排尿功能障碍，但无感觉丧失。磁共振成像（MRI）检查显示T1加权图像上脊髓下段弥漫性肿胀。根据临床表现和MRI结果，诊断为急性横贯性脊髓炎。抗柯萨奇病毒B5中和抗体血清滴度入院时为1/4，1个月后升至1/256，且从粪便样本中分离出柯萨奇病毒B5。该病例提醒我们，急性横贯性脊髓炎可能是柯萨奇病毒B5感染的一种罕见临床表现。
