A boy unable to move his arm.

Abstract

An 11-year-old boy presented with inability to move his right arm, back and neck pain, and fever. He had a history of recurrent vesicular rash on his face three times over the past two years. Magnetic resonance imaging (MRI) showed diffuse expansile cervical cord, leading to a diagnosis of transverse myelitis. After 3 days of intravenous solumedrol, the patient was discharged, but returned the following day with a vesicular rash to the right arm, as well as vomiting, malaise and diffuse pruritus.Wright-Giemsa stain of the vesicles revealed herpes group virus and culture was positive for herpes simplex type 1.

• Authors: Rebecca M Cantu, Russell W Steele
• Journal: Clinical pediatrics (Clin Pediatr (Phila)) Vol. 49 Issue 3 Pg. 293-6 (Mar 2010) ISSN: 1938-2707 [Electronic] United States
• PMID: 20164075 (Publication Type: Case Reports, Journal Article)

Topics

• Arm (physiopathology)
• Child
• Diagnosis, Differential
• Fever (virology)
• Herpes Simplex (complications, transmission)
• Herpesvirus 1, Human
• Humans
• Magnetic Resonance Imaging
• Male
• Movement
• Myelitis, Transverse (diagnosis, physiopathology, virology)
• Spinal Cord (pathology)