Amole Morolake, Khouzam-Skelton Nadine
Department of Internal Medicine, Morsani College of Medicine, University of South Florida, Tampa, FL 33612, USA.
Internal Medicine, James A Haley Veterans' Hospital, Tampa, FL 33612, USA.
Geriatrics (Basel). 2017 Apr 30;2(2):14. doi: 10.3390/geriatrics2020014.
Poliomyelitis is a disorder of the nervous system caused by an enterovirus. There are many survivors who, years later, develop a little-understood condition called Post-polio syndrome. Post-polio syndrome is a group of delayed sequalae of polio infection that can cause paralysis and bulbar symptoms in patients with a history of polio infection who have had a prolonged symptom-free period, often greater than two decades. Diagnosis of post-polio syndrome is difficult in the geriatric population because many of the symptoms overlap with other disease processes affecting older individuals. An extensive workup is necessary to exclude more concerning etiologies. Furthermore, several symptoms can be attributed to normal ageing. We present the case of an elderly patient with a history of poliomyelitis and multiple comorbidities who presented with complaints of weakness and fatigue.
脊髓灰质炎是一种由肠道病毒引起的神经系统疾病。有许多幸存者在多年后会出现一种了解甚少的病症，称为小儿麻痹后遗症。小儿麻痹后遗症是一组小儿麻痹感染的迟发性后遗症，可导致有小儿麻痹感染病史且有较长无症状期（通常超过二十年）的患者出现瘫痪和延髓症状。在老年人群中，小儿麻痹后遗症的诊断很困难，因为许多症状与影响老年人的其他疾病过程重叠。需要进行广泛的检查以排除更令人担忧的病因。此外，一些症状可归因于正常衰老。我们报告一例有脊髓灰质炎病史和多种合并症的老年患者，该患者出现了虚弱和疲劳的症状。
