Rapid

An 18 year old girl presents with paresthesia of both lower limbs, which progressed into weakness and difficulty in walking over a period of 3 days.

There was no bladder or bowel incontinence, or a history of trauma.

She experienced an upper respiratory tract infection 3 weeks earlier. Her medical history is unremarkable.

Select Relevant Investigations
Stool cultures for poliovirus

Performed

Negative for poliovirus
Lumbar puncture

Performed

Appearance: clear
Polymorphs: nil (< 5)
Gram stain: negative
Glucose: 70 mg/dL (50 - 80)
Protein: 50 mg/dL (15 mg/dl - 60 mg/dl)
Nerve conduction studies

Performed

Nerve conduction studies of both lower limbs are normal.
Serum Electrolytes

Performed

Na+: 137 mEq/l (135 - 145)
K+: 4.2 mEq/l (3.5 - 5.5)
Cl-: 101 mEq/l (97 - 105)

Select Relevant Management
Antibiotics
IV Immunoglobulin
Corticosteroids
ICU care