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Rehabilitation Practice and Science

Translated Title

急性急症多發性神經病變：病例報告

Abstract

It is often difficult to isolate the etiology of acute weakness in the critically ill population because of multiple etiologies. Recently, critical illness polyneuropathy (CIP), a syndrome of unknown etiology was added to the differential diagnosis. The frequency of CIP is approximately 50-70% in patient with sepsis and/or systemic inflammatory response syndrome and multiple organ dysfunction syndrome. This casereport presents a 66 year-old male who has diabetic mellitus for five years. He suffered from distal limbs numbness without muscle atrophy for nearly two years. Prior to admission, he was treated as muscle strain over right thigh in another hospital repeatedly, but in vain. After admitted to our hospital, a thorough physical examination revealed an abscess formation near the medial aspect of the right thigh. The patient was transferred to the rehabilitation department due to significant intrinsic muscle atrophy and poor activities of daily life after antibiotics treatment and surgical intervention twice which complicated with pneumonia, pleural effusion and systemic edema. In addition, nerve conductive studies suggested of predominantly axonal motor peripheral polyneuropathy, affecting distal limbs while the electromyography studies revealed active denervation change affecting all limbs muscles. This study discussed a patient with CIP with the aim of early diagnosis of this condition. Such diagnosis may influence early management, improving performance and cooperation during the rehabilitation programs.

Language

Traditional Chinese

First Page

55

Last Page

62

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