Polio differential diagnosis: Difference between revisions
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| style="padding: 5px 5px; background: #DCDCDC;" |'''[[West Nile Virus]]''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''[[West Nile Virus]]''' | ||
| style="padding: 5px 5px; background: #F5F5F5;" | May present as a mild disease, with abdominal pain; diarrhea; fever; headache; and myalgia; or as a more severe form, with | | style="padding: 5px 5px; background: #F5F5F5;" | May present as a mild disease, with abdominal pain; diarrhea; fever; headache; and myalgia; or as a more severe form, that may be life-threatening, called West Nile encephalitis, which may present with: | ||
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which can be life threatening, may be called West Nile encephalitis or West Nile meningitis, depending on what part of the body is affected. The following symptoms can occur, and need prompt attention: | |||
Confusion or change in ability to think clearly | |||
Loss of consciousness or coma | |||
Muscle weakness | |||
Stiff neck | |||
Weakness of one arm or leg | |||
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| style="padding: 5px 5px; background: #DCDCDC;" |'''[[Encephalitis]]''' | | style="padding: 5px 5px; background: #DCDCDC;" |'''[[Encephalitis]]''' | ||
Revision as of 23:20, 1 September 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]
Overview
Abortive poliomyelitis must be differentiated from other diseases that cause: fever, nausea, vomiting, diarrhea, headache and sore throat, such as: gastroenteritis, or acute respiratory infection.[1][2]
Paralytic poliomyelitis must be differentiated from other diseases that cause: headache, muscle pain; lethargy, muscle weakness, spams and tremors, such as: Guillain-Barré syndrome; traumatic neuritis of the sciatic nerve; transverse myelitis; and West Nile Virus.[2][3][4][5][6][7]
Differential Diagnosis
Abortive Poliomyelitis
| Disease | Findings |
|---|---|
| Gastroenteritis | |
| Acute respiratory infection |
Paralytic Poliomyelitis
The table below summarizes the findings that differentiate poliomyelitis from other conditions that cause headache, muscle pain; lethargy, muscle weakness, spams and tremors:[2][8][4][5][6][7]
| Disease | Findings |
|---|---|
| Guillain-Barré syndrome | Often presents with distal, ascending, symmetrical paralysis with abolished reflexes. Unlike paralytic poliomyelitis, it does not cause muscular atrophy, or skeletal deformities. |
| Traumatic neuritis of the sciatic nerve | Often occurs few days after intramuscular injections, presenting with pain and decreased temperature of the affected limb. Unlike paralytic poliomyelitis, it has an injection as causative agent, and does not cause muscular atrophy, or skeletal deformities. |
| Transverse myelitis | Often presents as symmetrical, flaccid paresis, decreased sensory level and neurogenic bladder. Unlike paralytic poliomyelitis, it does not typically cause skeletal deformities. |
| West Nile Virus | May present as a mild disease, with abdominal pain; diarrhea; fever; headache; and myalgia; or as a more severe form, that may be life-threatening, called West Nile encephalitis, which may present with: |
| Encephalitis |
References
- ↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.
- ↑ 2.0 2.1 2.2 Sutter RW, Brink EW, Cochi SL, Kew OM, Orenstein WA, Biellik RJ; et al. (1989). "A new epidemiologic and laboratory classification system for paralytic poliomyelitis cases". Am J Public Health. 79 (4): 495–8. PMC 1349984. PMID 2929811.
- ↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.
- ↑ 4.0 4.1 Alcalá H (1993). "[The differential diagnosis of poliomyelitis and other acute flaccid paralyses]". Bol Med Hosp Infant Mex. 50 (2): 136–44. PMID 8442872.
- ↑ 5.0 5.1 Asnis DS, Conetta R, Teixeira AA, Waldman G, Sampson BA (2000). "The West Nile Virus outbreak of 1999 in New York: the Flushing Hospital experience". Clin Infect Dis. 30 (3): 413–8. doi:10.1086/313737. PMID 10722421.
- ↑ 6.0 6.1 Campbell, Grant L; Marfin, Anthony A; Lanciotti, Robert S; Gubler, Duane J (2002). "West Nile virus". The Lancet Infectious Diseases. 2 (9): 519–529. doi:10.1016/S1473-3099(02)00368-7. ISSN 1473-3099.
- ↑ 7.0 7.1 Moorthi S, Schneider WN, Dombovy ML (1999). "Rehabilitation outcomes in encephalitis--a retrospective study 1990-1997". Brain Inj. 13 (2): 139–46. PMID 10079959.
- ↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.