Polio differential diagnosis: Difference between revisions
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==Overview== | ==Overview== | ||
Abortive poliomyelitis must be differentiated from other diseases that cause | 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]].<ref>{{cite journal |author=Falconer M, Bollenbach E |title=Late functional loss in nonparalytic polio |journal=American journal of physical medicine & rehabilitation / Association of Academic Physiatrists |volume=79 |issue=1 |pages=19–23 |year=2000 |pmid=10678598}}</ref><ref name="pmid2929811">{{cite journal| author=Sutter RW, Brink EW, Cochi SL, Kew OM, Orenstein WA, Biellik RJ et al.| title=A new epidemiologic and laboratory classification system for paralytic poliomyelitis cases. | journal=Am J Public Health | year= 1989 | volume= 79 | issue= 4 | pages= 495-8 | pmid=2929811 | doi= | pmc=PMC1349984 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2929811 }} </ref> | ||
Paralytic poliomyelitis must be differentiated from other diseases that cause | Paralytic poliomyelitis must be differentiated from other diseases that cause [[headache]], [[muscle pain]], [[lethargy]], [[muscle weakness]], [[muscle spasms|spams]], and [[tremors]], such as [[Guillain-Barré syndrome]], traumatic [[neuritis]] of the [[sciatic nerve]]v [[transverse myelitis]]v and [[West Nile Virus]].<ref name="pmid2929811">{{cite journal| author=Sutter RW, Brink EW, Cochi SL, Kew OM, Orenstein WA, Biellik RJ et al.| title=A new epidemiologic and laboratory classification system for paralytic poliomyelitis cases. | journal=Am J Public Health | year= 1989 | volume= 79 | issue= 4 | pages= 495-8 | pmid=2929811 | doi= | pmc=PMC1349984 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2929811 }} </ref><ref>{{cite journal |author=Falconer M, Bollenbach E |title=Late functional loss in nonparalytic polio |journal=American journal of physical medicine & rehabilitation / Association of Academic Physiatrists |volume=79 |issue=1 |pages=19–23 |year=2000 |pmid=10678598}}</ref><ref name="pmid8442872">{{cite journal| author=Alcalá H| title=[The differential diagnosis of poliomyelitis and other acute flaccid paralyses]. | journal=Bol Med Hosp Infant Mex | year= 1993 | volume= 50 | issue= 2 | pages= 136-44 | pmid=8442872 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8442872 }} </ref><ref name="pmid10722421">{{cite journal| author=Asnis DS, Conetta R, Teixeira AA, Waldman G, Sampson BA| title=The West Nile Virus outbreak of 1999 in New York: the Flushing Hospital experience. | journal=Clin Infect Dis | year= 2000 | volume= 30 | issue= 3 | pages= 413-8 | pmid=10722421 | doi=10.1086/313737 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10722421 }} </ref><ref name="CampbellMarfin2002">{{cite journal|last1=Campbell|first1=Grant L|last2=Marfin|first2=Anthony A|last3=Lanciotti|first3=Robert S|last4=Gubler|first4=Duane J|title=West Nile virus|journal=The Lancet Infectious Diseases|volume=2|issue=9|year=2002|pages=519–529|issn=14733099|doi=10.1016/S1473-3099(02)00368-7}}</ref><ref name="pmid10079959">{{cite journal| author=Moorthi S, Schneider WN, Dombovy ML| title=Rehabilitation outcomes in encephalitis--a retrospective study 1990-1997. | journal=Brain Inj | year= 1999 | volume= 13 | issue= 2 | pages= 139-46 | pmid=10079959 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10079959 }} </ref> | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 18:01, 8 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 nervev transverse myelitisv and West Nile Virus.[2][3][4][5][6][7]
Differential Diagnosis
The table below summarizes the findings that differentiate poliomyelitis from other conditions that cause headache, fever, muscle pain; nausea and vomiting:[2][8][4][5][6][7][9]
Abortive Poliomyelitis
| Disease | Findings |
|---|---|
| Gastroenteritis | Self-limited condition that often presents with abdominal pain, diarrhea, fever, loss of appetite; nausea and vomiting. It may be differentiated from abortive poliomyelitis with serologic tests. |
| Acute respiratory infection | Often presents with nasal discharge or congestion, sore throat, cough, fever, headache, malaise, and muscle weakness. It may be differentiated from abortive poliomyelitis with serologic tests. |
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][10][4][5][6][7][9]
| 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: confusion, muscle weakness, and stiff neck. It may be differentiated from paralytic poliomyelitis with serologic tests. |
| Encephalitis | Often occurs with fever; confusion; irritability; vomiting; and stiff neck. Commonly, it does not present with paralysis and may be differentiated from paralytic poliomyelitis with serologic tests. |
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 2.3 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 4.2 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 5.2 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 6.2 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 7.2 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.
- ↑ 9.0 9.1 "Poliomyelitis".
- ↑ 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.