Affiliations: Department of Pediatrics, BC Roy Post Graduate
Institute of Pediatric Sciences, Kolkata, India | Department of Pediatrics, Apollo Gleangles Hospital,
Kolkata, India | Department of Pediatrics, Calcutta National Medical
College, Kolkata, India | Department of Pediatrics, Calcutta Medical College,
Kolkata, India | Department of Pediatrics, Behrampore Medical College,
Kolkata, India
Note: [] Correspondence: Dr. Suman Das, 44 Talpukur Road, Deulpara, North
24 Parganas, Kolkata, India. Tel.: +91 983 672 1415; E-mail: [email protected]
Abstract: An 8-year-old boy was admitted to the Pediatric ward with high fever
and severe arthritis of 4 days duration. Chikungunya virus serology was
positive. As he became afebrile one week after admission, he developed acute
onset right sided hemiparesis and suffered from one episode of generalized
tonic clonic seizure. The next day he developed flaccid quadriplegia, loss of
all sensory modalities below the C5 dermatome and urinary retention. After 4
weeks of shock stage, spasticity appeared in all 4 limbs. Magnetic resonance
imaging (MRI) brain and spine showed extensive areas of
demyelination-suggestive of acute disseminated encephalomyelitis (ADEM). He was
treated with intravenous methyl prednisolone for 5 days, followed by oral
prednisolone for 6 weeks. He was left with gross neurodeficits, including
confinement to a wheel chair, persistent sensory loss and need for bladder catheterization.
