Flaccid weakness in PICU A 9-Year-old boy was referred to the tertiary center as a case of acute flaccid paralysis. He was healthy school going boy without any significant illness in the past.He developed weakness of both lower limbs which gradually progressed to trunk and upper limb within 24 hours. He had low-grade fever two days back which subsided without any drugs. No headache altered sensorium or vomiting. No history of fall. No bladder disturbance. No pain. No significant family history.
He was immunized up to age. O/E. He was fully conscious with an anxious expression, His voice was weak, His respiration was inadequate in depth confirmed with low single breath count. Limbs were flaccid with hyporeflexia. Sensation tested normal, plantar not elicitable. Blood pressure normal, heart rate rhythm normal. A provisional diagnosis of Guillain barre was made. As he showed signs of…
