Loading...
Acute flaccid paralysis (AFP) is not a reportable condition unless it is associated with an unusual disease. Viruses are suspected in most cases; enteroviruses, flaviviruses, and adenovirus are among those implicated in the past.
In August 2012, the California Department of Public Health received a report of AFP with anterior myelitis in a 29-year-old man who had not been vaccinated against polio. Two additional cases followed shortly. Testing did not reveal evidence of enteroviruses or any other known pathogen. Alerts to clinicians in California between December 2012 and February 2014 yielded 23 similar cases. Although poliovirus was not found, and no other virus was consistently isolated, two of the patients had enterovirus D68 (EV-D68) is…