Diphtheritic polyneuropathy: Not so uncommon.
Paul Ehiabhi Ikhurionan, Sunday Adanas, Osahon Osaghae et al.
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Case in brief
This report details four cases of diphtheritic polyneuropathy (DP) identified during a limited outbreak of diphtheria, affecting children who had received their infant vaccinations. The patients exhibited signs of cranial nerve involvement, particularly affecting cranial nerves VII, IX, and X. Management included diphtheria antitoxin, prednisolone, and physiotherapy, leading to good recovery for all patients.
Diagnostic / clinical pearl
Clinicians should be aware that diphtheritic polyneuropathy can occur even in vaccinated children, highlighting the need for vigilance in diphtheria outbreaks.
Why it matters
This case underscores the importance of reviewing vaccination programs and schedules in light of unexpected complications like diphtheritic polyneuropathy.