Last reviewed: November 2017
Last updated: March  2017

Summary

Definition

History and exam

Key diagnostic factors

  • unimmunized status
  • residence or travel in endemic area
  • decreased tone and motor function of affected limb
  • decreased tendon reflexes of affected limb
  • muscle atrophy of affected limb

Other diagnostic factors

  • age <36 months
  • gastrointestinal prodrome
  • fever
  • malaise
  • respiratory muscle atrophy and respiratory distress

Risk factors

  • lack of vaccination
  • poor sanitation
  • poverty
  • area of endemic infection
  • immunosuppression

Diagnostic investigations

Investigations to consider

  • virus culture from stool, CSF, or pharynx
  • CSF analysis
  • serum antibodies to poliovirus
  • MRI of spinal cord
  • electromyelogram (EMG) of affected limb
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Omar A. Khan

Director

Primary Care & Community Medicine

Medical Director

Eugene DuPont Preventive Medicine & Rehabilitation Institute

Christiana Care Health System

Associate Professor

Department of Family & Community Medicine

Sidney Kimmel Medical College of Thomas Jefferson University

Newark

DE

Disclosures

OAK is an author of a number of references cited in this monograph.

Professor of Infectious Disease Epidemiology

London School of Hygiene and Tropical Medicine

University of London

Chair

Public Health England Board

Head

Centre on Global Health Security - Chatham House

London

UK

Disclosures

DLH is an author of a number of references cited in this monograph.

Peer reviewers VIEW ALL

Assistant Clinical Professor

Jefferson Medical College

Philadelphia

PA

Disclosures

JMG declares that he has no competing interests.

The Nordin M. Thobani Professor and Chairman

Department of Community Health Sciences

Aga Khan University

Karachi

Pakistan

Disclosures

GP declares that he has no competing interests.

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