Abstract

Wild poliovirus–associated paralytic poliomyelitis has not been reported in Australia since 1977. We report type 1 wild poliovirus infection in a man who had traveled from Pakistan to Australia in 2007. Poliomyelitis should be considered for patients with acute flaccid paralysis or unexplained fever who have been to poliomyelitis-endemic countries.

Highlights

  • Wild poliovirus–associated paralytic poliomyelitis has not been reported in Australia since 1977

  • The day, magnetic resonance imaging (MRI) was highly suggestive of poliomyelitis

  • Panenterovirus reverse transcription–PCR (RT-PCR) of feces, serum, and throat swab produced negative results, but the samples were forwarded to the National Polio Reference Laboratory (NPRL) for cell culture 2 days later (Table)

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Summary

Introduction

Wild poliovirus–associated paralytic poliomyelitis has not been reported in Australia since 1977. The Study The patient was a 22-year-old Pakistani student in Melbourne, Australia; he had received at least 3 doses of oral polio vaccine as a child. Starting on July 3, the patient’s pain increased and lower limb weakness subsequently returned, accompanied by upper limb tremors. Panenterovirus reverse transcription–PCR (RT-PCR) of feces, serum, and throat swab produced negative results, but the samples were forwarded to the NPRL for cell culture 2 days later (Table).

Results
Conclusion
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