Echoviruses diagnosed in two children presenting with acute flaccid paralysis (AFP)

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dc.contributor.authorMazaba, M.L.
dc.contributor.authorNdumba, I.M.
dc.contributor.authorMpabalwani, E.
dc.contributor.authorKasolo, F.
dc.contributor.authorMufunda, J.
dc.contributor.authorChizema, E.
dc.contributor.authorMonze, M.
dc.date.accessioned2018-06-23T10:41:19Z
dc.date.available2018-06-23T10:41:19Z
dc.date.issued2016
dc.descriptionCase report on echoviruses diagnosed in two children presenting with acute flaccid paralysis (AFP): An Illustration of the evolving role of the Zambian AFP surveillance programme in the bsence of Polioen
dc.description.abstractThe Enteric Cytopathic Human Orphan virus commonly referred to by the acronym ECHO virus has been known to cause acute flaccid paralysis (AFP). Zambia has since 1993 run a national AFP surveillance program to primarily detect and confirm poliomyelitis cases. Through this program other enteroviruses have been confirmed to be associated to the non-polio cases. We describe two patients with acute flaccid paralysis presenting like poliomyelitis and yet are non-polio cases associated with ECHO virus. Case reports showed that in March 1995, a 2 year old male from Misisi compound, presented at the UTH with muscle weakness and paralysis of sudden onset. Aside from the acute flaccid paralysis presenting in both legs and arms, the child had no other signs of symptoms of significance. Laboratory investigations using the WHO polio laboratory network standard protocols revealed the presence of ECHO 7 virus. In April 1995, a 4 year old girl from Kamwala South in Lusaka presented at the UTH with symptoms and signs of AFP of asymmetrical presentation affecting the Left upper and lower limbs, fever and sore throat. Two stool specimens collected for laboratory analysis revealed the presence of Echovirus untyped. AFP is a neurological condition primarily suspected as a poliomyelitis commonly seen in children below 15 years defined by sudden onset of weakness and floppiness affecting usually one or more limbs. Laboratory analysis has revealed other viruses including the Echovirus being associated with acute flaccid paralysis. This case series reveals Echovirus 7 and Echovirus untyped as being associated with AFP cases that presented to the UTH initially suspected to be poliomyelitis. It was therefore concluded that the clinical manifestations and laboratory results provide evidence of ECHO virus causing acute flaccid paralysis similar to that caused by polio virus. The last wild polio cases circulating in Zambia were in 2001. It is important that Zambia continues to investigate other causes of AFP for clinical decision making, scientific documentation and policy guidance.en
dc.description.sponsorshipOffice of Global AIDS/US Department of Stateen
dc.identifier.citationMazaba, M.L., Ndumba, I.M., Mpabalwani, E., Kasolo, F., Mufunda, J., Chizema, E. and Monze, M. (2016). Echoviruses diagnosed in two children presenting with acute flaccid paralysis (AFP): An illustration of the evolving role of the Zambian AFP surveillance programme in the absence of polio. Medical Journal of Zambia 43(1)en
dc.identifier.urihttp://dspace.unza.zm/handle/123456789/5184
dc.language.isoenen
dc.publisherUniversity of Zambia, Medical Libraryen
dc.relation.ispartofseriesMedical Journal of Zambia. 43, (1);
dc.subjectEchovirusesen
dc.subjectAcute Flaccid Paralysisen
dc.subjectEnteric Cytopathic Human Orphan virusen
dc.subjectpoliomyelitisen
dc.titleEchoviruses diagnosed in two children presenting with acute flaccid paralysis (AFP)en
dc.title.alternativeAn illustration of the evolving role of the Zambian AFP surveillance programme in the absence of polioen
dc.typeArticleen
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