title: A rare cause of acute flaccid paralysis: Human coronaviruses.
abstract: Acute flaccid paralysis (AFP) is a life-threatening clinical entity characterized by weakness in the whole body muscles often accompanied by respiratory and bulbar paralysis. The most common cause is Gullian-Barre syndrome, but infections, spinal cord diseases, neuromuscular diseases such as myasthenia gravis, drugs and toxins, periodic hypokalemic paralysis, electrolyte disturbances, and botulism should be considered as in the differential diagnosis. Human coronaviruses (HCoVs) cause common cold, upper and lower respiratory tract disease, but in the literature presentation with the lower respiratory tract infection and AFP has not been reported previously. In this study, pediatric case admitted with lower respiratory tract infection and AFP, who detected for HCoV 229E and OC43 co-infection by the real-time polymerase chain reaction, has been reported for the first time.
authors.affiliation: Department of Pediatrics, Division of Pediatric Neurology, Faculty of Medicine, Ondokuz Mayis University, Kurupelit, 55139 Samsun, Turkey.
authors.forename: Cokyaman
authors.initials: C
authors.lastname: Turgay
authors.affiliation: Department of Pediatrics, Division of Pediatric Neurology, Faculty of Medicine, Ondokuz Mayis University, Kurupelit, 55139 Samsun, Turkey.
authors.forename: Tekin
authors.initials: T
authors.lastname: Emine
authors.affiliation: Department of Pediatrics, Pediatric Intensive Care Unit, Faculty of Medicine, Ondokuz Mayis University, Kurupelit, 55139 Samsun, Turkey.
authors.forename: Koken
authors.initials: K
authors.lastname: Ozlem
authors.affiliation: Department of Pediatrics, Pediatric Intensive Care Unit, Faculty of Medicine, Ondokuz Mayis University, Kurupelit, 55139 Samsun, Turkey.
authors.forename: S Paksu
authors.initials: SP
authors.lastname: Muhammet
authors.affiliation: Department of Pediatrics, Division of Pediatric Neurology, Faculty of Medicine, Ondokuz Mayis University, Kurupelit, 55139 Samsun, Turkey.
authors.forename: A Tasdemir
authors.initials: AT
authors.lastname: Haydar
keywords: Acute flaccid paralysis; child; coronavirus 229E; coronavirus OC43