A boy unable to move his arm.
An 11-year-old boy presented with inability to move his right arm, back and neck pain, and fever. He had a history of recurrent vesicular rash on his face three times over the past two years. Magnetic resonance imaging (MRI) showed diffuse expansile cervical cord, leading to a diagnosis of transverse myelitis. After 3 days of intravenous solumedrol, the patient was discharged, but returned the following day with a vesicular rash to the right arm, as well as vomiting, malaise and diffuse pruritus.Wright-Giemsa stain of the vesicles revealed herpes group virus and culture was positive for herpes simplex type 1.
Cantu
Rebecca M
RM
Tulane University School of Medicine, New Orleans, LA, USA. rcantu@tulane.edu
Steele
Russell W
RW
D001132:Arm / Q000503:physiopathology*; D002648:Child; D003937:Diagnosis, Differential; D005334:Fever / Q000821:virology; D006561:Herpes Simplex / Q000150:complications* / Q000635:transmission; D018259:Herpesvirus 1, Human; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009068:Movement; D009188:Myelitis, Transverse / Q000175:diagnosis* / Q000503:physiopathology / Q000821:virology*; D013116:Spinal Cord / Q000473:pathology*