길랑-바레 증후군으로 오인된 백신 연관마비성 소아마비
Vaccine Associated Paralytic Poliomyelitis, Mimicking Guillain-Barre Syndrome
장성호, 이인규, 윤재남, 이성용, 김호성,
소속 상세정보
장성호 ( Jang Sung-Ho )
순천향대학교 의과대학 재활의학교실
이인규 ( Lee In-Kyu )
순천향대학교 의과대학 천안병원 소아과학교실
윤재남 ( Yoon Jae-Nam )
순천향대학교 의과대학 재활의학교실
이성용 ( Lee Sung-Yong )
순천향대학교 의과대학 재활의학교실
김호성 ( Kim Ho-Sung )
순천향대학교 의과대학 재활의학교실
KMID : 0860920050070010045
Abstract
In most areas of the world, wild polio virus is eradicated thanks to the mass campaign for polio vaccination. Though wild polio viruses are eradicated, poliomyelitis still shows near-negligible incidences in relation to oral polio virus vaccination (OPV). When a patient shows acute, generalized, asymmetrical weakness, a physician would try to rule out other neurological diseases rather than poliomyelitis. Especially, in case a patient has no vaccination history, no contract history with a recipient, a physician seldom consider poliomyelitis as a primary cause of weakness. We experienced a case of 8-year-old boy who did not receive OPV in recent years and did not have known contract history with recipient. He showed a feature of acute motor axonal polyneuropathy in electrophysiologic study and later was diagnosed by stool
exam as naving vaccine-associated poliomyelitis (sabin 1, 3 type).
키워드
Vaccine associated paralytic poliomyelitis (VAPP);Acute motor axonal polyneuropathly (Guillain-Barre Sydrome);OPV;Poliomyelitis;Asymmetrical weakness
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