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Flaccid paralysis is an illness characterized by weakness or paralysis and reduced muscle tone The term acute flaccid paralysis (AFP) is often used to describe a sudden onset, as might be found with polio. AFP is the most common sign of. Nationwide AFP (acute flaccid paralysis) surveillance is the gold standard for often confirms wild poliovirus infections in the absence of cases of paralysis. To thoroughly describe the clinical, laboratory, and electrodiagnostic features of this paralysis syndrome, we evaluated acute flaccid paralysis that developed in.

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Neurologic complications in children with xdalah 71 infection. How is AFP diagnosed? The four steps of surveillance are: If its effects reach the respiratory muscles, then it can cause respiratory failure, leading to death. GBS was the most common cause of AFP in our study, which is consistent with the findings of other studies [ 15 — 19 ].

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Louis encephalitis virus indicated WNV infection Electrodiagnostic findings suggested a severe, asymmetric process affecting anterior horn cells or motor axons. Follow-up for residual paralysis at 60 days. At least one case of non-polio AFP should be detected annually per population aged less than 15 years. Case reports have documented a poliomyelitis-type syndrome associated with other flaviviruses 21 — 23as well as anterior myelitis associated with WNV infection This condition can become fatal if it affects the respiratory muscles, posing the threat of suffocation.


Infections of the central nervous system. The patient was hospitalized on July 29, and neurologic examination showed a flaccid, areflexic right lower extremity and a weak left lower extremity with diminished reflexes.

Table 1 shows the incidence of AFP by age and sex. Objectives of Surveillance To identify and monitor AFP cases due to poliomyelitis, EV71 and botulism, so that appropriate and timely public health measures can be taken to meet the WHO AFP surveillance performance indicator target for polio-free countries. Admission laboratory values showed leukocytosis and CSF pleocytosis Table 3. J Neuropathol Exp Neurol.

Immediate case investigation and specimen collection is important acue rule out polio, maintain Canada’s polio-free status, and determine the source of infection. Turk J Pediatr ; 50 5: National Center for Biotechnology InformationU. The results of these cases were not counted in the final report to avoid over diagnosis and over-counting the AFP cases.

Myopathy, demyelinating polyneuropathy, and diffuse axonal polyneuropathy were not apparent. This group included patients whose stool specimens were insufficient for laboratory diagnosis, who still suffered from para,ysis weakness, or who had not been followed up.

J Infect Dis ; Suppl 2: Causes of AFP Peripheral neuropathy Guillain-Barre syndrome Acute axonal neuropathy Neuropathies of infectious diseases diphtheria, Lyme disease Acute toxic neuropathies heavy metals, snake toxin Arthropod borne viruses Focal mononeuropathy Anterior horn cell disease Acute anterior poliomyelitis Vaccine-associated paralytic polio Other neurotropic viruses eg.

Conflict of Interest None. All performance indicators but one consistently met the WHO requirements and therefore demonstrated the effectiveness of the AFP surveillance program in Kurdistan. This child was vaccinated one week after the occurrence of paralysis and therefore paralysis was not related to polio vaccination. Our study was disadvantageous for the some disorganization of data collected during early praalysis of the study.


Laralysis Polio Eradication Program was started in Iran in Curare has parakysis been used medicinally by South Americans to treat madness, dropsy, edema, fever, kidney stones, and bruises. Data were sought out by visiting or contacting a feed-forward site.

Acute Flaccid Paralysis and West Nile Virus Infection

P -values below 0. Afr J Health Sci ; 13 Ann Saudi Med ; 26 1: Control of Communicable Diseases Manual, 19 th edition. Statistical Center of Iran.

Acute flaccid paralysis AFP is a clinical syndrome which has many infectious and non-infectious causes. The long border of Iran with these two countries requires continuous and vigilant surveillance system to timely detect poliomyelitis cases. This article has been cited by other articles in PMC.

Conclusion The surveillance system for AFP was effective in Kurdistan province and compares well in most aspects with other systems in the Eastern Mediterranean region. All patients paralyais acute onset of asymmetric weakness and areflexia but no sensory abnormalities. Arch Iran Med ; 15 2: