Chand Prem, Ibrahim Shahnaz, Zaidi Syed Sohail, Amjad Nida
Department of Paediatrics and Child Health, The Aga Khan University, Karachi.
Department of Virology, Public Health Division, National Institute of Health, Islamabad.
J Coll Physicians Surg Pak. 2014 May;24 Suppl 2:S107-8.
A 7 years old boy presenting with acute flaccid paralysis after Varicella zoster infection was diagnosed as having acute transverse myelitis on MRI. He recovered fully after treatment with intravenous corticosteroids and acyclovir. The occurrence of this condition during or following Varicella infection is uncommon. There are previously very few reported cases of post-Varicella acute transverse myelitis in which recovery started after 3 months of treatment. In this case complete recovery occurred in 2 weeks of treatment. This report emphasizes the need for Varicella zoster vaccine to prevent not only acute Varicella, but also its rare postinfectious neurologic sequelae.
一名7岁男孩在水痘带状疱疹感染后出现急性弛缓性麻痹,MRI诊断为急性横贯性脊髓炎。经静脉注射皮质类固醇和阿昔洛韦治疗后完全康复。这种情况在水痘感染期间或之后发生并不常见。以前很少有报告称水痘后急性横贯性脊髓炎在治疗3个月后开始恢复。在本病例中,治疗2周后完全康复。本报告强调需要接种水痘带状疱疹疫苗,不仅要预防急性水痘,还要预防其罕见的感染后神经后遗症。