clove and Nasopharyngitis

In the framework of the poliomyelitis program eradication, the World Health Organization suggests two markers to survey the circulation of the poliovirus: notification of all cases of acute flask paralysis (AFP) and etiological research of these AFP from two stool samples. The authors reported the case of a AFP, occurring after a polio vaccination in a 5-year-old boy who had later an acute rhinopharyngitis treated by antibiotics and quinine intramuscular injections. A left lower limb AFP justified his hospitalisation. The isolation of a Sabin type 3 poliovirus was a pitfall because clinical and complementary investigations demonstrate a peripheral neuromuscular paralysis. This demonstrative case shows the need for health staff to be trained to perform correctly an usual act like intramuscular drug injections.

Topics: Acute Disease; Anti-Bacterial Agents; Child, Preschool; Diagnosis, Differential; Disease Notification; Feces; Humans; Injections, Intramuscular; Madagascar; Male; Nasopharyngitis; Paralysis; Poliomyelitis; Poliovirus; Poliovirus Vaccine, Oral; Quinine; Sciatic Nerve