Case Report
1 Medical student at Iguaçu University - UNIG/RJ, Nova Iguaçu - RJ, Brazil
2 Medical student at Iguaçu University, Iguaçu University - UNIG/RJ, Nova Iguaçu - RJ, Brazil
3 Physician, Neurologist, Adjunct Professor of Medicine at Universidade Iguaçu - UNIG/ Nova Iguaçu, RJ, Brazil
4 Department of Neurology of Hospital Geral de Nova Iguaçu, PhD student in Neurology at the Federal University of the State of Rio de Janeiro - UNIRIO, Adjunct Professor of Medicine at Iguaçu University - UNIG/Nova Iguaçu, RJ, Brazil
5 Professor of Neurology - Universidade Iguaçu - UNIG-RJ, Nova Iguaçu - RJ; Physician of the Neurology Service of Nova Iguaçu General Hospital, Nova Iguaçu, RJ, Brazil
6 Physician, Neurologist, State University of Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brazil
Address correspondence to:
Antonio Marcos da Silva Catharino
Rua Gavião Peixoto 70, Room 811, CEP 24.2230-100, Icaraí, Niterói-RJ,
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Article ID: 101384Z01DP2023
Introduction: Acute anterior poliomyelitis (AAP) can affect people of any age, despite being uncommon before six months. The viral invasion destroys the lower motor neurons of the spinal cord, brain, and brainstem. As a result, it leads to partial or complete flaccid and asymmetrical paralysis of the lower limb and spine muscles. Big names like Frida Kahlo and US President Franklin D Roosevelt were diagnosed with polio.
Case Report: We present the case of a patient with AAP diagnosed at two years of age. As an adult, he gave osteomyoarticular sequelae, insomnia, new central (adynamia), peripheral fatigue, cold intolerance, joint and neuropathic pain. The patient received a clinical diagnosis of post-polio syndrome (PPS) after fulfilling Dalakas criteria. The physical examination showed some hallmarks of AAP, in addition to those primarily affected by PPS.
Conclusion: Post-polio syndrome is a disorder characterized by new neuromuscular deficits that present years after the resolution of polio infection. However, far beyond the physical pain, the psychosocial impact is staggering. Therefore, in addition to surgical intervention and physical therapy, attention should be paid to the psychological follow-up of this patient, who is most often elderly.
Keywords: Acute poliomyelitis, Poliomyelitis, Post-polio syndrome
Daniel Antunes Pereira - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Yasmin Faria Menezes Castro Santos - Interpretation of data, Drafting the article, Final approval of the version to be published
Marco Antônio Orsini Neves - Acquisition of data, Analysis of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Antonio Marcos da Silva Catharino - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Gilberto Canedo Martins Jr - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Eduardo Rodrigues Davidovich - Substantial contributions to conception and design, Interpretation of data, Drafting the article, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Daniel Antunes Pereira et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.