Skip to main content

Poliomyelitis

Reviewed 06/2019
 


BASICS

DESCRIPTION

An infection caused by poliovirus types 1, 2, and 3. Most patients are asymptomatic; 5–10% develop symptoms (fever, myalgias) and 0.1% develop the paralytic form of the disease (1). 
  • ...

DIAGNOSIS

HISTORY

  • If the affected person is from a nonendemic country, a travel history is particularly important (3).

  • Most patients are asymptomatic.

  • ~10% will show symptoms of a minor GI illness:

    • Feve...

TREATMENT

There is no curative treatment. Primary therapy is supportive. The European Federation of Neurological Societies guidelines on PPS emphasize muscular training, targeted physical therapy (PT)...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • PT is essential for patients with paralytic polio.

  • Counseling for the patient, caregivers, and family is useful in managing lifetime sequelae.

  • Bed rest is often nec...

REFERENCES

1
American Academy of Pediatrics Committee on Infectious Diseases. Poliovirus. Pediatrics.  2011;128(4):805–808. [View Abstract on OvidMedline]
2
Global Polio Eradication Initiative: www....

CODES

ICD10

  • A80.9 Acute poliomyelitis, unspecified

  • A80.4 Acute nonparalytic poliomyelitis

  • A80.30 Acute paralytic poliomyelitis, unspecified

  • A80.39 Other acute paralytic poliomyelitis

  • A80.2 Acute paralytic ...

CLINICAL PEARLS

  • ~95% of wild-virus polio cases are asymptomatic, <1% develop paralysis. Wild-type polio has been eradicated in the United States.

  • VAPP occurred in 1 of 2.9 million doses of OPV; no l...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

×