title: Acute transverse myelitis caused by ECHO virus type 18 infection.
abstract: A 14-year-old boy developed acute quadriplegia, associated with sensory impairment and bowel and urinary dysfunction. MRI of the cervical cord showed diffuse increased signal intensity on T2-weighted images with gadolinium-diethylenetriamine penta-acetic acid enhancement. Based on the clinical presentation and MRI findings, the diagnosis of acute transverse myelitis was made. Enterovirus RNA was amplified from CSF by the reverse transcriptase-polymerase chain reaction. Serum neutralizing antibody to ECHO virus type 18 rose from 1/4 on admission to 1/16 2 months later.
  
  
  CONCLUSIONS
  This is the first reported case of acute transverse myelitis caused by ECHO virus type 18 infection.
authors.affiliation: Department of Paediatrics, Asahiwaka Medical College, Japan.
authors.forename: S
authors.initials: S
authors.lastname: Takahashi
authors.forename: A
authors.initials: A
authors.lastname: Miyamoto
authors.forename: J
authors.initials: J
authors.lastname: Oki
authors.forename: H
authors.initials: H
authors.lastname: Azuma
authors.forename: A
authors.initials: A
authors.lastname: Okuno
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D004457:Echovirus Infections / Q000150:complications / Q000473:pathology / Q000821:virology*; D019786:Gadolinium DTPA; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009188:Myelitis, Transverse / Q000150:complications / Q000473:pathology / Q000821:virology*; D009942:Organometallic Compounds; D004369:Pentetic Acid / Q000031:analogs & derivatives; D016133:Polymerase Chain Reaction / Q000379:methods; D011782:Quadriplegia / Q000821:virology*; D016055:Urinary Retention / Q000209:etiology
chemical_list: D009942:Organometallic Compounds; D004369:Pentetic Acid; D019786:Gadolinium DTPA