Generic placeholder image

CNS & Neurological Disorders - Drug Targets

Editor-in-Chief

ISSN (Print): 1871-5273
ISSN (Online): 1996-3181

Review Article

An Overview of Acute Flaccid Myelitis

Author(s): Aseem Setia, Jasween Bhatia and Sankha Bhattacharya*

Volume 21, Issue 9, 2022

Published on: 31 March, 2022

Page: [774 - 794] Pages: 21

DOI: 10.2174/1871527320666211125101424

Price: $65

Abstract

Acute Flaccid Myelitis is defined by the presence of Acute Flaccid Paralysis (AFP) and a spinal cord lesion on magnetic resonance imaging that is primarily limited to the grey matter. AFM is a difficult situation to deal with when you have a neurologic illness. According to the Centers for Disease Control and Prevention (CDC), a large number of cases were discovered in the United States in 2014, with 90% of cases occurring in children. Although the exact cause of AFM is unknown, mounting evidence suggests a link between AFM and enterovirus D68 (EV-D68). In 2014, an outbreak of AFM was discovered in the United States. The condition was initially linked to polioviruses; however, it was later found that the viruses were caused by non-polioviruses Enteroviruses D-68 (EV-D68). The number of cases has increased since 2014, and the disease has been declared pandemic in the United States. The sudden onset of muscle weakness, usually in an arm or leg, as well as pain throughout the body, the change in patient's facial expression (facial weakness), and shortness of breath, ingesting, and speaking are all common symptoms in patients suffering from neurologic disease. This article includes graphic and histogram representations of reported AFM incidents and criteria for causality, epidemiology, various diagnostic approaches, signs and symptoms, and various investigational guidelines. It also includes key statements about recent clinical findings related to AFM disease.

Keywords: Neurological disease, grey matter, enteroviruses d-68, acute flaccid paralysis, epidemiology, Centres for Disease Control and Prevention (CDC).

Graphical Abstract

[1]
Hardy D, Hopkins S. Update on acute flaccid myelitis: Recognition, reporting, aetiology and outcomes. Arch Dis Child 2020; 105(9): 842-7.
[http://dx.doi.org/10.1136/archdischild-2019-316817] [PMID: 32041735]
[2]
Messacar K, Asturias EJ, Hixon AM, et al. Enterovirus D68 and acute flaccid myelitis-evaluating the evidence for causality. Lancet Infect Dis 2018; 18(8): e239-47.
[http://dx.doi.org/10.1016/S1473-3099(18)30094-X] [PMID: 29482893]
[3]
Victoria JG, Kapoor A, Li L, et al. Metagenomic analyses of viruses in stool samples from children with acute flaccid paralysis. J Virol 2009; 83(9): 4642-51.
[http://dx.doi.org/10.1128/JVI.02301-08] [PMID: 19211756]
[4]
Singanamalla B, Madaan P, Saini L. Acute flaccid myelitis surveillance during the COVID-19 pandemic. Pediatr Neurol 2021; 116: 1.
[http://dx.doi.org/10.1016/j.pediatrneurol.2020.11.022] [PMID: 33387807]
[5]
Bitnun A, Yeh EA. Acute flaccid paralysis and enteroviral infections. Curr Infect Dis Rep 2018; 20(9): 34.
[http://dx.doi.org/10.1007/s11908-018-0641-x] [PMID: 29959591]
[6]
Vawter-Lee M, Peariso K, Frey M, et al. Acute flaccid myelitis: A multidisciplinary protocol to optimize diagnosis and evaluation. J Child Neurol 2021; 36(6): 421-31.
[http://dx.doi.org/10.1177/0883073820975230] [PMID: 33258719]
[7]
Adam D. Report on the 2018 acute flaccid myelitis outbreaks in the USA. Global Biosecurity 2019; 1(1): 129.
[http://dx.doi.org/10.31646/gbio.21]
[8]
Bonwitt J, Poel A, DeBolt C, et al. Acute flaccid myelitis among children-Washington, September-November 2016. MMWR Morb Mortal Wkly Rep 2017; 66(31): 826-9.
[http://dx.doi.org/10.15585/mmwr.mm6631a2] [PMID: 28796760]
[9]
Matesanz S, McGuire JL, Hopkins S. Acute flaccid myelitis: Characteristics and outcomes of 2014 and 2016 cases at a single center. J Pediatr 2019; 215: 272-276.e1.
[http://dx.doi.org/10.1016/j.jpeds.2019.07.015] [PMID: 31402137]
[10]
Messacar K, Tyler KL. Enterovirus D68-associated acute flaccid myelitis: Rising to the clinical and research challenges. JAMA 2019; 321(9): 831-2.
[http://dx.doi.org/10.1001/jama.2019.1016] [PMID: 30768149]
[11]
Sejvar JJ, Lopez AS, Cortese MM, et al. Acute flaccid myelitis in the United States, August-December 2014: Results of nationwide surveillance. Clin Infect Dis 2016; 63(6): 737-45.
[http://dx.doi.org/10.1093/cid/ciw372] [PMID: 27318332]
[12]
de Oliveira LH, Struchiner CJ. Vaccine-associated paralytic poliomyelitis: A retrospective cohort study of acute flaccid paralyses in Brazil. Int J Epidemiol 2000; 29(4): 757-63.
[http://dx.doi.org/10.1093/ije/29.4.757] [PMID: 10922356]
[13]
The United Kingdom Acute Flaccid Paralysis Afp Task Force. An increase in reports of acute flaccid paralysis (AFP) in the United Kingdom, 1 January 2018-21 January 2019: early findings. Euro Surveill 2019; 24(6): 1900093.
[http://dx.doi.org/10.2807/1560-7917.ES.2019.24.6.1900093] [PMID: 30755296] [PMCID: PMC6373064]
[14]
Dyda A, Stelzer-Braid S, Adam D, Chughtai AA, MacIntyre CR. The association between acute flaccid myelitis (AFM) and Enterovirus D68 (EV-D68) - What is the evidence for causation? Euro Surveill 2018; 23(3): 17-00310.
[http://dx.doi.org/10.2807/1560-7917.ES.2018.23.3.17-00310] [PMID: 29386095]
[15]
Yip CCY, Lo JYC, Sridhar S, et al. First report of a fatal case associated with EV-D68 infection in Hong Kong and emergence of an interclade recombinant in China revealed by genome analysis. Int J Mol Sci 2017; 18(5): 1065.
[http://dx.doi.org/10.3390/ijms18051065] [PMID: 28509856]
[16]
Gould MS, Kleinman MH, Lake AM, Forman J, Midle JB. Newspaper coverage of suicide and initiation of suicide clusters in teenagers in the USA, 1988-96: A retrospective, population-based, case-control study. Lancet Psychiatry 2014; 1(1): 34-43.
[http://dx.doi.org/10.1016/S2215-0366(14)70225-1] [PMID: 26360401]
[17]
Bhattarai S. Environmental surveillance for enterovirus and influenza a virus among clinical settings in Jakarta, Indonesia Master's thesis, Duke University Retrieved from https://hdlhandlenet/10161/20829
[18]
Wang G, Zhuge J, Huang W, et al. Enterovirus D68 subclade B3 strain circulating and causing an outbreak in the United States in 2016. Sci Rep 2017; 7(1): 1242.
[http://dx.doi.org/10.1038/s41598-017-01349-4] [PMID: 28455514]
[19]
Fedak KM, Bernal A, Capshaw ZA, Gross S. Applying the bradford hill criteria in the 21st century: How data integration has changed causal inference in molecular epidemiology. Emerg Themes Epidemiol 2015; 12(1): 14.
[http://dx.doi.org/10.1186/s12982-015-0037-4] [PMID: 26425136]
[20]
Terranova L, Principi N, Bianchini S, et al. Neisseria meningitidis serogroup B carriage by adolescents and young adults living in Milan, Italy: Prevalence of strains potentially covered by the presently available meningococcal B vaccines. Hum Vaccin Immunother 2018; 14(5): 1070-4.
[http://dx.doi.org/10.1080/21645515.2018.1450121] [PMID: 29584565]
[21]
Martin JA, Messacar K, Yang ML, et al. Outcomes of colorado children with acute flaccid myelitis at 1 year. Neurology 2017; 89(2): 129-37.
[http://dx.doi.org/10.1212/WNL.0000000000004081] [PMID: 28615421]
[22]
Murphy OC, Messacar K, Benson L, et al. Acute flaccid myelitis: Cause, diagnosis, and management. Lancet 2021; 397(10271): 334-46.
[http://dx.doi.org/10.1016/S0140-6736(20)32723-9] [PMID: 33357469]
[23]
Aliabadi N, Messacar K, Pastula DM, et al. Enterovirus D68 infection in children with acute flaccid myelitis, Colorado, USA, 2014. Emerg Infect Dis 2016; 22(8): 1387-94.
[http://dx.doi.org/10.3201/eid2208.151949] [PMID: 27434186]
[24]
Zhang C, Zhang X, Dai W, et al. A mouse model of enterovirus D68 infection for assessment of the efficacy of inactivated vaccine. Viruses 2018; 10(2): 58.
[http://dx.doi.org/10.3390/v10020058] [PMID: 29385753]
[25]
Majer A, McGreevy A, Booth TF. Molecular pathogenicity of enteroviruses causing neurological disease. Front Microbiol 2020; 11: 540.
[http://dx.doi.org/10.3389/fmicb.2020.00540] [PMID: 32328043]
[26]
Anasir MI, Poh CL. Advances in antigenic peptide-based vaccine and neutralizing antibodies against viruses causing hand, foot, and mouth disease. Int J Mol Sci 2019; 20(6): 1256.
[http://dx.doi.org/10.3390/ijms20061256]
[27]
Knoester M, Helfferich J, Poelman R, Van Leer-Buter C, Brouwer OF, Niesters HGM. Twenty-nine cases of enterovirus-D68–associated acute flaccid myelitis in Europe 2016: A case series and epidemiologic overview. Pediatr Infect Dis J 2019; 38(1): 16-21.
[http://dx.doi.org/10.1097/INF.0000000000002188] [PMID: 30234793]
[28]
Helfferich J, Knoester M, Van Leer-Buter CC, et al. Acute flaccid myelitis and enterovirus D68: lessons from the past and present. Eur J Pediatr 2019; 178(9): 1305-15.
[http://dx.doi.org/10.1007/s00431-019-03435-3] [PMID: 31338675]
[29]
Hübner J, Kruse B, Christen HJ, et al. Acute flaccid myelitis in German children in 2016-the return of polio? Dtsch Arztebl Int 2017; 114(33-34): 551-7.
[http://dx.doi.org/10.3238/arztebl.2017.0551] [PMID: 28855045]
[30]
Kramer R, Lina B, Shetty J. Acute flaccid myelitis caused by enterovirus D68: Case definitions for use in clinical practice. Eur J Paediatr Neurol 2019; 23(2): 235-9.
[http://dx.doi.org/10.1016/j.ejpn.2019.01.001] [PMID: 30670331]
[31]
Chisti MJ, Tebruegge M, La Vincente S, Graham SM, Duke T. Pneumonia in severely malnourished children in developing countries - Mortality risk, aetiology and validity of wHO clinical signs: A systematic review. Trop Med Int Health 2009; 14(10): 1173-89.
[http://dx.doi.org/10.1111/j.1365-3156.2009.02364.x] [PMID: 19772545]
[32]
Williams C. Reducing the burden of childhood cerebral visual impairment: Another step forward. Dev Med Child Neurol 2020; 62(1): 15-5.
[http://dx.doi.org/10.1111/dmcn.14323] [PMID: 31342511]
[33]
Hixon AM, Yu G, Leser JS, et al. A mouse model of paralytic myelitis caused by enterovirus D68. PLoS Pathog 2017; 13(2): e1006199.
[http://dx.doi.org/10.1371/journal.ppat.1006199] [PMID: 28231269]
[34]
Darras BT, Markowitz JA, Monani UR, Darryl C. Spinal muscular atrophies. Neuromuscular disorders of infancy, childhood, and adolescence 2015; 117-45.
[http://dx.doi.org/10.1016/B978-0-12-417044-5.00008-1]
[35]
Hughes RA, Newsom-Davis JM, Perkin GD, Pierce JM. Controlled trial prednisolone in acute polyneuropathy. Lancet 1978; 2(8093): 750-3.
[http://dx.doi.org/10.1016/S0140-6736(78)92644-2]
[36]
Parry GJ, Steinberg JS. Guillain-Barre Syndrome: From diagnosis to recovery. New York: Demos Medical Publishing 2007.
[37]
Pearn J. Neuromuscular paralysis caused by tick envenomation. J Neurol Sci 1977; 34(1): 37-42.
[http://dx.doi.org/10.1016/0022-510X(77)90089-2] [PMID: 915536]
[38]
Eberhardt MJ, Filipovic MR, Leffler A, et al. Methylglyoxal activates nociceptors through transient receptor potential channel A1 (TRPA1): A possible mechanism of metabolic neuropathies. J Biol Chem 2012; 287(34): 28291-306.
[http://dx.doi.org/10.1074/jbc.M111.328674] [PMID: 22740698]
[39]
Simon DK, Wu C, Tilley BC, et al. Caffeine, creatine, GRIN2A and Parkinson’s disease progression. J Neurol Sci 2017; 375: 355-9.
[http://dx.doi.org/10.1016/j.jns.2017.02.032] [PMID: 28320167]
[40]
Rajindrajith S, Devanarayana NM, Crispus Perera BJ. Rumination syndrome in children and adolescents: A school survey assessing prevalence and symptomatology. BMC Gastroenterol 2012; 12(1): 163.
[http://dx.doi.org/10.1186/1471-230X-12-163] [PMID: 23157670]
[41]
Haddox CL, Shenoy N, Shah KK, et al. Pembrolizumab induced bulbar myopathy and respiratory failure with necrotizing myositis of the diaphragm. Ann Oncol 2017; 28(3): 673-5.
[http://dx.doi.org/10.1093/annonc/mdw655] [PMID: 27993808]
[42]
Chamberlain-Banoub JL. Role of complement and complement regulators in peripheral nerve and neuromuscular disorders 2005.
[43]
Kim Y, Walser SA, Asghar SJ, Jain R, Mainali G, Kumar A. A comprehensive review of neurologic manifestations of COVID-19 and management of pre-existing neurologic disorders in children. J Child Neurol 2021; 36(4): 324-30.
[http://dx.doi.org/10.1177/0883073820968995] [PMID: 33112694]
[44]
Ishikawa S, Takei Y, Tokunaga S, Motomura M, Nakao Y, Hanyu N. [Response to immunoadsorption and steroid therapies in a patient with carcinomatous Lambert-Eaton myasthenia syndrome accompanied by disturbed consciousness]. Rinsho Shinkeigaku 2000; 40(5): 459-63.
[PMID: 11002728]
[45]
Elrick MJ, Gordon-Lipkin E, Crawford TO, et al. Clinical subpopulations in a sample of North American children diagnosed with acute flaccid myelitis, 2012-2016. JAMA Pediatr 2019; 173(2): 134-9.
[http://dx.doi.org/10.1001/jamapediatrics.2018.4890] [PMID: 30500056]
[46]
Park SW, Farrar J, Messacar K, Meyers L, Pons-Salort M, Grenfell BT. Epidemiological dynamics of enterovirus D68 in the US: Implications for acute flaccid myelitis. medRxiv 2021; 2020.07.23.20069468.
[http://dx.doi.org/10.1101/2020.07.23.20069468]
[47]
Muaddi H, Hafid ME, Choi WJ, et al. Clinical outcomes of robotic surgery compared to conventional surgical approaches (Laparoscopic or Open): A systematic overview of reviews. Ann Surg 2021; 273(3): 467-73.
[http://dx.doi.org/10.1097/SLA.0000000000003915]
[48]
McKay SL, Lee AD, Lopez AS, et al. Increase in acute flaccid myelitis-United States, 2018. MMWR Morb Mortal Wkly Rep 2018; 67(45): 1273-5.
[http://dx.doi.org/10.15585/mmwr.mm6745e1] [PMID: 30439867]
[49]
Morris S, Kim YM, Waubant E, Van Haren K, Mar SS. Acute Flaccid Myelitis. In: Pediatric Demyelinating Diseases of the Central Nervous System and Their Mimics. Cham: Springer 2017; pp. 241-50.
[http://dx.doi.org/10.1007/978-3-319-61407-6_31]
[50]
Stylianou A, Lekka M, Stylianopoulos T. AFM assessing of nanomechanical fingerprints for cancer early diagnosis and classification: From single cell to tissue level. Nanoscale 2018; 10(45): 20930-45.
[http://dx.doi.org/10.1039/C8NR06146G] [PMID: 30406223]
[51]
Pestronk A, Chaudhry V, Feldman EL, et al. Lower motor neuron syndromes defined by patterns of weakness, nerve conduction abnormalities, and high titers of antiglycolipid antibodies. Ann Neurol 1990; 27(3): 316-26.
[http://dx.doi.org/10.1002/ana.410270314] [PMID: 2327739]
[52]
Broughton SS, Meyerhoff WE, Cohen SB. Immune-mediated inner ear disease: 10-year experience. Semin Arthritis Rheum 2004; 34(2): 544-8.
[http://dx.doi.org/10.1016/j.semarthrit.2004.07.001] [PMID: 15505770]
[53]
Cinque P, Scarpellini P, Vago L, Linde A, Lazzarin A. Diagnosis of central nervous system complications in HIV-infected patients: cerebrospinal fluid analysis by the polymerase chain reaction. AIDS 1997; 11(1): 1-17.
[http://dx.doi.org/10.1097/00002030-199701000-00003] [PMID: 9110070]
[54]
Bellwood B, Andrasik-Catton M. Veterinary technician’s handbook of laboratory procedures. In: Hoboken, NJ: John Wiley & Sons 2013.
[55]
Lin C, Lin CS, Lee DJ, et al. Artificial intelligence-assisted electrocardiography for early diagnosis of thyrotoxic periodic paralysis. JES 2021; 5(9): 120.
[56]
Teele SA, Allan CK, Laussen PC, Newburger JW, Gauvreau K, Thiagarajan RR. Management and outcomes in pediatric patients presenting with acute fulminant myocarditis. J Pediatr 2011; 158(4): 638-643.e1.
[http://dx.doi.org/10.1016/j.jpeds.2010.10.015] [PMID: 21195415]
[57]
Mechtler LL, Nandigam K. Spinal cord tumors: New views and future directions. Neurol Clin 2013; 31(1): 241-68.
[http://dx.doi.org/10.1016/j.ncl.2012.09.011] [PMID: 23186903]
[58]
Goethe EA, Kass NR, Kass JS. Neurologic disease in HIV infection in neurological complications of infectious diseases. In: Cham: Humana 2021; pp. 165-97.
[http://dx.doi.org/10.1007/978-3-030-56084-3_9]
[59]
Lokhandwala PM, Riel SL, Haley L, et al. Analytical validation of androgen receptor splice variant 7 detection in a clinical laboratory improvement amendments (CLIA) laboratory setting. J Mol Diagn 2017; 19(1): 115-25.
[http://dx.doi.org/10.1016/j.jmoldx.2016.08.003] [PMID: 27916435]
[60]
Yang R, Xi N, Fung CK, Seiffert-Sinha K, Lai KW, Sinha AA. The emergence of AFM applications to cell biology: How new technologies are facilitating investigation of human cells in health and disease at the nanoscale. J Nanosci Lett 2011; 1(2): 87-101.
[PMID: 24416719]
[61]
Kwong JC, Schwartz KL, Campitelli MA, et al. Acute myocardial infarction after laboratory-confirmed influenza infection. N Engl J Med 2018; 378(4): 345-53.
[http://dx.doi.org/10.1056/NEJMoa1702090] [PMID: 29365305]
[62]
Bielekova B, Komori M, Xu Q, Reich DS, Wu T. Cerebrospinal fluid IL-12p40, CXCL13 and IL-8 as a combinatorial biomarker of active intrathecal inflammation. PLoS One 2012; 7(11): e48370.
[http://dx.doi.org/10.1371/journal.pone.0048370] [PMID: 23226202]
[63]
Shaw CA, Li D, Tomljenovic L. Are there negative CNS impacts of aluminum adjuvants used in vaccines and immunotherapy? Immunotherapy 2014; 6(10): 1055-71.
[http://dx.doi.org/10.2217/imt.14.81] [PMID: 25428645]
[64]
Tosetto A, Rodeghiero F, Castaman G, et al. A quantitative analysis of bleeding symptoms in type 1 von Willebrand disease: Results from a multicenter European study (MCMDM-1 VWD). J Thromb Haemost 2006; 4(4): 766-73.
[http://dx.doi.org/10.1111/j.1538-7836.2006.01847.x] [PMID: 16634745]
[65]
Devi S. US CDC task force to investigate acute flaccid myelitis cases. Lancet 2018; 392(10162): 2339.
[http://dx.doi.org/10.1016/S0140-6736(18)33012-5] [PMID: 30527604]
[66]
Di Renzo L, Gualtieri P, Romano L, et al. Role of personalized nutrition in chronic-degenerative diseases. Nutrients 2019; 11(8): 24.
[http://dx.doi.org/10.3390/nu11081707] [PMID: 31344895]
[67]
Strobbe S. Prevention and screening, brief intervention, and referral to treatment for substance use in primary care. Prim Care 2014; 41(2): 185-213.
[http://dx.doi.org/10.1016/j.pop.2014.02.002] [PMID: 24830605]
[68]
Aertgeerts B, Agoritsas T, Siemieniuk RAC, et al. Corticosteroids for sore throat: A clinical practice guideline. BMJ 2017; 358: j4090.
[http://dx.doi.org/10.1136/bmj.j4090] [PMID: 28931507]
[69]
Holtrop JS, Malouin R, Weismantel D, Wadland WC. Clinician perceptions of factors influencing referrals to a smoking cessation program. BMC Fam Pract 2008; 9: 18.
[http://dx.doi.org/10.1186/1471-2296-9-18] [PMID: 18373854]
[70]
Boardman A, Bavikatte G. An overview of prolonged disorders of consciousness for the general practitioner. Br J Med Pract 2020; 13(1): a007.
[71]
Sotello D, Nugent K. Acute flaccid myelitis. Southwest Respiratory and Critical Care Chronicles 2019; 7(27): 86-6.
[http://dx.doi.org/10.12746/swrccc.v7i27.528]
[72]
Tomicic MT, Bey E, Wutzler P, Thust R, Kaina B. Comparative analysis of DNA breakage, chromosomal aberrations and apoptosis induced by the anti-herpes purine nucleoside analogues aciclovir, ganciclovir and penciclovir. Mutat Res 2002; 505(1-2): 1-11.
[http://dx.doi.org/10.1016/S0027-5107(02)00105-7] [PMID: 12175901]
[73]
Schwartz AM, Hinckley AF, Mead PS, Hook SA, Kugeler KJ. Surveillance for lyme disease-United States, 2008-2015. MMWR Surveill Summ 2017; 66(22): 1-12.
[http://dx.doi.org/10.15585/mmwr.ss6622a1] [PMID: 29120995]
[74]
Sampath R, Russell KL, Massire C, et al. Global surveillance of emerging Influenza virus genotypes by mass spectrometry. PLoS One 2007; 2(5): e489.
[http://dx.doi.org/10.1371/journal.pone.0000489] [PMID: 17534439]
[75]
Uprety P, Curtis D, Elkan M, et al. Association of enterovirus D68 with acute flaccid myelitis, Philadelphia, Pennsylvania, USA, 2009-2018. Emerg Infect Dis 2019; 25(9): 1676-82.
[http://dx.doi.org/10.3201/eid2509.190468] [PMID: 31407660]
[76]
Smirlock M, Starks L. A further examination of stock price changes and transaction volume. J Financ Res 1985; 8(3): 217-26.
[http://dx.doi.org/10.1111/j.1475-6803.1985.tb00404.x]
[77]
Dimitrova M, Affolter C, Meyer F, et al. Sustained delivery of siRNAs targeting viral infection by cell-degradable multilayered polyelectrolyte films. Proc Natl Acad Sci USA 2008; 105(42): 16320-5.
[http://dx.doi.org/10.1073/pnas.0800156105] [PMID: 18922784]
[78]
Chong PF, Kira R, Mori H, et al. Clinical features of acute flaccid myelitis temporally associated with an enterovirus D68 outbreak: Results of a nationwide survey of acute flaccid paralysis in Japan, August–December 2015. Clin Infect Dis 2018; 66(5): 653-64.
[http://dx.doi.org/10.1093/cid/cix860] [PMID: 29028962]
[79]
Munn Z, Tufanaru C, Lockwood C, Stern C, McAneney H, Barker TH. Rinse-free hand wash for reducing absenteeism among preschool and school children. Cochrane Database Syst Rev 2020; 4(4): 012566.
[http://dx.doi.org/10.1002/14651858.CD012566.pub2]
[80]
Milligan TA. The importance of neurology for the non-neurologist. Med Clin North Am 2019; 103(2): xv-xvi.
[http://dx.doi.org/10.1016/j.mcna.2018.11.001] [PMID: 30704691]
[81]
Alary Gauvreau C, Kairy D, Mazer B, Guindon A, Le Dorze G. Rehabilitation strategies enhancing participation in shopping malls for persons living with a disability. Disabil Rehabil 2018; 40(8): 917-25.
[http://dx.doi.org/10.1080/09638288.2017.1280093] [PMID: 28129706]
[82]
Latronico N, Bolton CF. Critical illness polyneuropathy and myopathy: A major cause of muscle weakness and paralysis. Lancet Neurol 2011; 10(10): 931-41.
[http://dx.doi.org/10.1016/S1474-4422(11)70178-8] [PMID: 21939902]
[83]
Hopkins SE. Acute flaccid myelitis: Etiologic challenges, diagnostic and management considerations. Curr Treat Options Neurol 2017; 19(12): 48.
[http://dx.doi.org/10.1007/s11940-017-0480-3] [PMID: 29181601]
[84]
Division of vector-borne diseases, division of high-consequence pathogens and pathology, national center for emerging and zoonotic infectious diseases, cdc; children’s hospital colorado; council of state and territorial epidemiologists. Notes from the field: Acute flaccid myelitis among persons aged ≤21 years - United States, August 1-November 13, 2014. MMWR Morb Mortal Wkly Rep 2015; 63(53): 1243-4.
[PMID: 25577990]
[85]
Yu DQ, Wang Y, Ma GZ, et al. Intravenous immunoglobulin in the therapy of adult acute fulminant myocarditis: A retrospective study. Exp Ther Med 2014; 7(1): 97-102.
[http://dx.doi.org/10.3892/etm.2013.1372] [PMID: 24348772]
[86]
Xu C, Carlsson DO, Mihranyan A. Feasibility of using DNA-immobilized nanocellulose-based immunoadsorbent for systemic lupus erythematosus plasmapheresis. Colloids Surf B Biointerfaces 2016; 143: 1-6.
[http://dx.doi.org/10.1016/j.colsurfb.2016.03.014] [PMID: 27011345]
[87]
Man WH, de Steenhuijsen Piters WA, Bogaert D. The microbiota of the respiratory tract: Gatekeeper to respiratory health. Nat Rev Microbiol 2017; 15(5): 259-70.
[http://dx.doi.org/10.1038/nrmicro.2017.14] [PMID: 28316330]
[88]
Bragstad K, Jakobsen K, Rojahn AE, et al. High frequency of enterovirus D68 in children hospitalised with respiratory illness in Norway, autumn 2014. Influenza Other Respir Viruses 2015; 9(2): 59-63.
[http://dx.doi.org/10.1111/irv.12300] [PMID: 25534826]
[89]
Greninger AL, Naccache SN, Messacar K, et al. A novel outbreak enterovirus D68 strain associated with acute flaccid myelitis cases in the USA (2012-14): A retrospective cohort study. Lancet Infect Dis 2015; 15(6): 671-82.
[http://dx.doi.org/10.1016/S1473-3099(15)70093-9] [PMID: 25837569]
[90]
Kane MS, Sonne C, Zhu S, et al. Incidence, risk factors and outcomes among children with acute flaccid myelitis: A population-based cohort study in a California health network between 2011 and 2016. Pediatr Infect Dis J 2019; 38(7): 667-72.
[http://dx.doi.org/10.1097/INF.0000000000002276] [PMID: 30985511]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy