Table 2. Compilation of the pediatric patients with severe acute flaccid paralysis examined in the Robert Koch Institute in 2016 (including patients listed in Table 1).
Case | Age(years) | Sex | Place of residence | Clinical findings | Onset of symptoms | Enterovirus detection in stool |
1 | 1.8 | male | Hamburg | Pred. proximal pareses; requiring mechanical ventilation | March 2016 | n.d. |
2 | 2.0 | female | East Wuerttemberg | Right-sided hemiparesis, no head control, myelitis | July 2016 | ECHO virus 30 |
3 | 4.8 | male | Lower Bavaria | AFP, meningitis | July 2016 | n.d. |
4 | 8.6 | female | n.a. | AFP (transverse myelitis) | August 2016 | n.d. |
5 | 2.7 | female | Hannover region | n.a. *2 | August 2016 | n.d. |
6 | 10.0 | male | Upper Bavaria | Polio-like, tetraplegia | August 2016 | n.d. |
7 | 3.7 | female | Rhineland | AFP (left arm), oral antibiotic therapy for pneumonia | August 2016 | n.d. |
8 | 2.8 | male | Lower Bavaria | AFP (arm), upper airway infection, paradoxical breathing, no head control |
August 2016 | Coxsackievirus A2 |
9 | 14.3 | male | Upper Bavaria | AFP-proximal and distal muscle weakness L>R | August 2016 | n.d. |
10 | 2.3 | female | Rhenish Hesse | AFP (lower extremities), bronchopneumonia (10 days earlier) |
August 2016 | Enterovirus D68 |
11 | 6.3 | male | Lower Saxony | AFP (lower extremities), respir. disease, myelitis | August 2016 | n.d. |
12 | 2.2 | female | Rhineland | AFP, meningitis | September 2016 | Enterovirus A71 |
13 | 1.7 | female | Hannover region | AFP | October 2016 | Coxsackievirus A2 |
14 | 4.5 | female | n.a. | AFP, requiring mechanical ventilation | n.a. | pos* |
15 | 3.1 | male | Upper Swabia | Cervical myelitis, facial nerve paralysis | n.a. | n.d. |
16 | 2.4 | male | n.a. | AFP, myelitis | n.a. | pos* |
*, without typing; AFP, acute flaccid myelitis; L, left; n.a, not available; n.d., not detected; pos, positive; pred., predominantly; R, right