Ms. VTT (54 years old, Hai Phong) had a fever and was diagnosed with dengue fever. Ms. T. was treated and her fever went away, her condition stabilized. However, when she returned home, Ms. T. still felt pain in her neck and shoulders, so her family took her to a private clinic and gave her an injection directly into her neck and shoulders.
One day after the injection, Ms. T had a fever again, accompanied by paralysis of both legs that gradually spread to both arms and loss of sensation in the entire area from the waist down. Ms. T was immediately hospitalized with a diagnosis of bacterial infection-myelitis.
Immediately afterwards, Ms. T. was transferred to the Emergency Department, Central Hospital for Tropical Diseases.
When admitted to the Central Hospital for Tropical Diseases, Ms. T was conscious but completely paralyzed from the neck down. Her arms were paralyzed but she could only move 1/5 of them, and her legs were completely paralyzed. Ms. T also lost all sensation from the waist down, and began to show signs of respiratory muscle paralysis, requiring a ventilator and vasopressor medications.
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After treatment, the patient's infection stabilized but quadriplegia improved slowly. |
Doctor Pham Thanh Bang, Emergency Department, Central Hospital for Tropical Diseases, said that Ms. T. was diagnosed with septicemia-cervical myelitis with staphylococcal monitoring. The patient was also ordered an MRI scan to detect diffuse spinal cord lesions, spinal edema causing loss of motor and sensory function, consistent with clinical findings, with no signs of cervical spinal abscess, so a multidisciplinary consultation was performed with indications for spinal decompression and antibiotic treatment.
After treatment, the patient's infection stabilized but quadriplegia improved slowly.
“This is a rare case of myelitis caused by gram-positive bacilli, especially staphylococci. Staphylococci mostly enter through intravenous injection, bacteria directly invade causing diffuse osteomyelitis (not causing meningitis), causing the entire bone marrow to lose function with clinical manifestations of paralysis,” Dr. Bang further emphasized.
In addition to medical treatment, Ms. T. was treated with a combination of traditional medicine, rehabilitation with electroacupuncture, gentle massage, and combined exercise for 2 months after the treatment to stabilize her pulpitis.
Doctor Nguyen Trung Nghia, Department of Traditional Medicine and Rehabilitation, Central Hospital for Tropical Diseases, said that with the condition of weak upper limbs, complete flaccid paralysis of lower limbs, loss of superficial and deep sensation of lower limbs, Ms. T. was given acupuncture needles at the acupoints in the upper limbs, the Giap Tich acupoints and the lower limbs to stimulate the nervous system and muscles, restoring the patient's motor and sensory functions.
Up to now, Ms. T. has partially recovered her upper limbs and the goal in the coming time is to restore basic upper limb movement so that the patient can move independently in daily activities. Upper limb muscle strength has improved from 1/5 to 3/5.
With her lower limbs, from being unable to flex and extend, and completely losing the feeling of depth, Ms. T. is receiving rehabilitation support with assistive devices, so she has the feeling of touch, hot and cold sensation, but the feeling of pain is still not clear.
Source: https://nhandan.vn/bong-dung-bi-liet-sau-mui-tiem-chua-dau-vai-gay-post855758.html
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