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Most states facing or possible cases of polio-like illness



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<p> (CNN) – This year, more than half of all US states have been diagnosed with the possibility of acute myocardial infarction, the polio-like illness that can cause paralysis and child abuse, according to a new CNN analysis. </p>
<p> CNN reaches out to health departments in every state; 48 states responded, plus the District of Columbia. Of those, 30 states were said to have been confirmed, or were suspected or investigated in 2018. </p><div><script async src=

In total, CNN found 47 confirmed cases and 49 more that were suspected or being investigated, for a total of 96.

The US Centers for Disease Control and Prevention, which releases only confirmed numbers, says 16 states had 38 cases as of 30. It does not identify the states.

CNN found that

Arizona, Colorado, Georgia, Indiana, Iowa, Massachusetts, Minnesota, New Jersey, North Carolina , Ohio, Pennsylvania, Rhode Island, South Carolina, Texas and Wisconsin.

Alabama, Arkansas, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Massachusetts, Michigan, Mo ntana, Nebraska, Nevada, New York, North Carolina, Oklahoma and Washington.

Acute flaccid myelitis, also called AFM, is a rare but serious condition that affects the nervous system, with a particular focus on the gray matter of the spinal cord cord.

The agency has seen an increase in cases since August 2014. Although the cause remains a mystery in the majority of cases with enterovirus D68, "although it is not found in all patients, according to the CDC."

Other enteroviruses have been found in patients with AFM. For example, 11 of the Colorado cases of AFM this year have been tested positive for EV A71, a rare type of enterovirus usually seen in the US, rather in Asia and other parts of the world, according to state epidemiologist. Rachel Herlihy.

"The most common etiology is probably a viral infection that starts off the process, and there are several different cancers that can cause acute flaccid myelitis," said Dr. Rachel Herlihy. Samuel Dominguez, Medical Director of the Clinical Microbiology Laboratory at Children's Hospital, Colorado.

In addition to viruses, environmental toxins and genetic disorders, according to the CDC, and the like, may be considered to be of use of the same symptoms as other neurological diseases. " It is not a reportable disease in all states.

Symptoms can include sudden limb weakness, loss of muscle tone and reflexes, facial and eyelid drooping, difficulty moving the eyes, difficulty swallowing, slurred speech and, in the most severe cases, difficulty breathing, according to the CDC. What happens to patients down the line is unclear; Some recover quickly, while others may require long-term care.

There is no specific treatment for AFM, but there have been attempts to include immunoglobulin replacement therapy, corticosteroids, plasma exchange and antiviral therapy, according to the National Institutes of Health .

"This is a relatively uncommon syndrome." So I think that should be reassuring to people, "Dominguez said. "This is a rare complication of a common virus."


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