Acute Flaccid Paralysis due to Japanese Encephalitis: A Case Report

Abstract

An eleven-year-old boy came to Department of Paediatrics of Rajshahi Medical College Hospital with fever and unconsciousness. His pupillary light reflexes were bilaterally sluggish, all the deep tendon reflexes were diminished, and planter reflexes were bilaterally flexor. His left leg become paralyzed on 13 th day and by 15 th day all his limbs became paralyzed. Besides these, the patient had gross muscle wasting but his deep tendon reflexes were diminished. The patient was proved to have Japanese encephalitis infection by a four-fold rise in virus-specific antibody detected in paired acute and convalescent sera by enzyme-linked immunosorbant assay.