• Ann Emerg Med · Oct 2019

    Case Reports

    New Cluster of Acute Flaccid Myelitis in Western Pennsylvania.

    • Natan Cramer, Neil Munjal, Danielle Ware, Sriram Ramgopal, Dennis Simon, Megan C Freeman, Marian G Michaels, Christopher Stem, Kavita Thakkar, John V Williams, Ashok Panigrahy, Neville Desiree N W DNW Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA., and Sylvia Owusu-Ansah.
    • Department of Pediatrics, Division of Pediatric Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.
    • Ann Emerg Med. 2019 Oct 1; 74 (4): 503-508.

    AbstractAcute flaccid myelitis is a debilitating illness characterized by acute onset of limb weakness, with one or more spinal segments displaying magnetic resonance imaging-confirmed gray matter lesions. Since the first outbreak in 2014, tracking by the Centers for Disease Control and Prevention has demonstrated biennial epidemics in the United States, with a current outbreak occurring in 2018. The cases of 3 children with acute flaccid myelitis who were initially thought to have common nonneurologic diagnoses are presented. Emergency physicians need to be vigilant to recognize the subtleties of acute flaccid myelitis because the illness progression is rapid and therapy is nuanced.Copyright © 2019 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.

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