Acute transverse myelitis caused by ECHO virus type 18 infection
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a 14-year-old boy developed acute quadriplegia, associated with sensory impairment and bowel and urinary dysfunction. MRI of the cervical cord showed diffuse increased signal intensity on T2-weighted images with gadolinium-diethylenetriamine penta-acetic acid enhancement. Based on the clinical presentation and MRI findings, the diagnosis of acute transverse myelitis was made. Enterovirus RNA was amplified from CSF by the reverse transcriptase-polymerase chain reaction. Serum neutralizing antibody to ECHO virus type 18 rose from 1/4 on admission to 1/16 2 months later.
This is the first reported case of acute transverse myelitis caused by ECHO virus type 18 infection.
Key wordsAcute transverse myelitis MRI ECHO virus type 18 Reverse transcriptase Polymerase chain reaction
acute transverse myelitis
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