title: [Acute flaccid paralysis after drug injection: a case report in the pediatric service of the Befelatanana Hospital Center in Antananarivo].
abstract: In the framework of the poliomyelitis program eradication, the World Health Organization suggests two markers to survey the circulation of the poliovirus: notification of all cases of acute flask paralysis (AFP) and etiological research of these AFP from two stool samples. The authors reported the case of a AFP, occurring after a polio vaccination in a 5-year-old boy who had later an acute rhinopharyngitis treated by antibiotics and quinine intramuscular injections. A left lower limb AFP justified his hospitalisation. The isolation of a Sabin type 3 poliovirus was a pitfall because clinical and complementary investigations demonstrate a peripheral neuromuscular paralysis. This demonstrative case shows the need for health staff to be trained to perform correctly an usual act like intramuscular drug injections.
authors.affiliation: Hôpital général de Befelatanana, Centre Hospitalier Universitaire d'Antananarivo, BP bis-101 Antananarivo-Madagascar.
authors.forename: J M
authors.initials: JM
authors.lastname: Rasamoelisoa
authors.forename: X G
authors.initials: XG
authors.lastname: Tovone
authors.forename: E
authors.initials: E
authors.lastname: Rakotovao
authors.forename: D
authors.initials: D
authors.lastname: Razafimandimby
authors.forename: D R
authors.initials: DR
authors.lastname: Rakotoarimanana
authors.forename: D
authors.initials: D
authors.lastname: Andriambao
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002675:Child, Preschool; D003937:Diagnosis, Differential; D018563:Disease Notification; D005243:Feces / Q000821:virology; D006801:Humans; D007273:Injections, Intramuscular / Q000009:adverse effects*; D008270:Madagascar; D008297:Male; D009304:Nasopharyngitis / Q000188:drug therapy; D010243:Paralysis / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D011051:Poliomyelitis / Q000175:diagnosis* / Q000209:etiology* / Q000821:virology; D017955:Poliovirus / Q000302:isolation & purification; D011055:Poliovirus Vaccine, Oral; D011803:Quinine / Q000008:administration & dosage; D012584:Sciatic Nerve / Q000293:injuries*
chemical_list: D000900:Anti-Bacterial Agents; D011055:Poliovirus Vaccine, Oral; D011803:Quinine