Acute quadriplegic myopathy in a 16-month-old child

Francesca Iodice, Marco Salzano, Monica Prosperi, Adele D'Amico, Aldo Lauri, Enrico Bertini

Research output: Contribution to journalArticlepeer-review

Abstract

We present a case of a 16-month old previously healthy child who was hospitalized because of an acute respiratory insufficiency most likely caused by a viral infection and who then developed a severe acute quadriplegic myopathy (AQM). Initial clinical symptoms were respiratory acidosis, dypnea, intense wheezing, and deterioration of the level of consciousness, which required orotracheal intubation and mechanical ventilation. We administered neuromuscular blocking agents, corticosteroids, and antibiotics. After 9 days the clinical picture improved. An attempt to wean from the ventilator failed. We diagnosed AQM. This paper discusses AQM and its clinical importance.

Original languageEnglish
Pages (from-to)611-615
Number of pages5
JournalPaediatric Anaesthesia
Volume15
Issue number7
DOIs
Publication statusPublished - 2005

Keywords

  • Acute quadriplegic myopathy
  • Neuromuscular blocking agents

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine
  • Pediatrics, Perinatology, and Child Health

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