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KMID : 0860920050070010045
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Journal of the Korean Association EMG-Electrodiagnostic Medicine
2005 Volume.7 No. 1 p.45 ~ p.49
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Vaccine Associated Paralytic Poliomyelitis, Mimicking Guillain-Barre Syndrome
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Jang Sung-Ho
Lee In-Kyu
Yoon Jae-Nam
Lee Sung-Yong
Kim Ho-Sung
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Abstract
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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).
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KEYWORD
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Vaccine associated paralytic poliomyelitis (VAPP), Acute motor axonal polyneuropathly (Guillain-Barre Sydrome), OPV, Poliomyelitis, Asymmetrical weakness
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