By switaschek, 23 October, 2020 Infxn control standard contact droplet precautions consistent w EV D68 recommendations5
By switaschek, 23 October, 2020 OT PT may be recommended for arm leg weakness Physical rehab implemented during initial phase of illness might improve long term outcomes1
By switaschek, 23 October, 2020 No indication for use of these in AFM fluoxetine antivirals interferons or other immunosuppressives biologics Some agents may theoretically impair immune rxn to infxn5
By switaschek, 23 October, 2020 Tx There s no clear evidence for against any specific tx for acute AFM These frequently tried alone in combo IVIG steroids plasma exchange5
By switaschek, 23 October, 2020 Resp status Assess monitor resp sufficiency Negative inspiratory force may be used if child old enough able to cooperate2
By switaschek, 23 October, 2020 Immediately admit to hospital1 pts who meet AFM clinical imaging criteria 2 as rapid paralysis resp failure may ensue Seek neuro ID consult No specific tx proven 1 Collect specimens ASAP 3 report to health dept4
By switaschek, 23 October, 2020 Contact local health dept to arrange for sending specimens MRI results to CDC3
By switaschek, 23 October, 2020 Assess per case criteria sudden onset flaccid limb weakness w o known cause MRI w spinal cord gray matter lesions3
By switaschek, 23 October, 2020 Additional tests for infxns Consider pathogen specific testing eg Lyme per seasonality exposures geography clinical presentation Rapid specimen collection increases chance of pathogen detection3
