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A middle aged lady developed fever, headache and drowsiness fr 2 days followed by weakness of all 4 limbs. Weakness was proximal as well as distal, with hyporeflexia and sensations were normal<br><br>CSF showed proteins 79 mg% with 22 cells. Nerve conduction study showed normal sensory conductions and reduced motor amplitudes<br><br>What is likely cause of it?
Explanation
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The clinical phenotype is that of acute flaccid paralysis due to anterior horn cell involvement in a setting of encephalitic illness<br><br>World-wide most common virus<br><br>causing AHC involvement is West Nile virus<br><br>Other viruses include polio, enterovirus 71, Japanese encephalitis virus, rabies etc.
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Reference
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CONTINUUM (MINNEAP MINN) 2021;27(4, NEUROINFECTIOUS DISEASE):921?942.
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Option 1
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Is Correct (Option 1):
AMAN
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Option 2
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Is Correct (Option 2):
Polio
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Option 3
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Is Correct (Option 3):
West Nile virus
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Option 4
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Is Correct (Option 4):
Cytomegalovirus
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