A 50-Year-Old Female with Quadriparesis Secondary to Viral Myositis: Unusual Presentation and Diagnostic Approach


Authors : Dr. Dnyanesh Morkar; Dr. Saad Siddiqui; Dr. Priyanka Patil

Volume/Issue : Volume 9 - 2024, Issue 1 - January

Google Scholar : http://tinyurl.com/4fk6vczy

Scribd : http://tinyurl.com/5f7xb2fz

DOI : https://doi.org/10.5281/zenodo.10521998

Abstract : It’s not common to encounter acute viral myositis that occurs during convalescence from illness, most commonly influenza. Myalgia with weakness and isolated laboratory finding of elevated serum creatine kinase (CK) are hallmarks of this disease. The disease is often thought to occur only in children with male predominance and weakness predominantly in calf muscles. Recovery usually takes a few days and is usually spontaneous. This case therefore indicates that it can occur in adults with atypical presentation. Close differentials are inflammatory and hereditary myopathies which require subjecting patients to unnecessary invasive testing. It is well proven in numerous studies that invasive testing such as muscle biopsy has no role in treatment as well as prognosis in cases like benign acute pediatric myositis, therefore physicians should be aware of such cases and avoid unnecessary anxiety-provoking and invasive testing.

Keywords : Quadriparesis, Viral Myositis, Diagnostic Approach, Biopsy.

It’s not common to encounter acute viral myositis that occurs during convalescence from illness, most commonly influenza. Myalgia with weakness and isolated laboratory finding of elevated serum creatine kinase (CK) are hallmarks of this disease. The disease is often thought to occur only in children with male predominance and weakness predominantly in calf muscles. Recovery usually takes a few days and is usually spontaneous. This case therefore indicates that it can occur in adults with atypical presentation. Close differentials are inflammatory and hereditary myopathies which require subjecting patients to unnecessary invasive testing. It is well proven in numerous studies that invasive testing such as muscle biopsy has no role in treatment as well as prognosis in cases like benign acute pediatric myositis, therefore physicians should be aware of such cases and avoid unnecessary anxiety-provoking and invasive testing.

Keywords : Quadriparesis, Viral Myositis, Diagnostic Approach, Biopsy.

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