Polio

Case contributed by Dr Ian Bickle

Presentation

CT performed for patient in severe sepsis and respiratory compromise.

Patient Data

Age: 75 years
Gender: Male
CT

Gross atrophy of the right sided pelvis musculature.

The psoas, right pelvic side wall and gluteus musculture is severely atrophic if not completely replaced by fat.

Incidental gallstones and bilateral lower lobe consolidation.

Case Discussion

This patient had polio as a child. Polio was once a hugely problematic disease globally but due to public health programmes, including vaccination, is now thankfully rare.

In fact, the polio eradication initiative (http://www.polioeradication.org/Keycountries.aspx) declares only Afghanistan and Pakistan as the remaining endemic countries.

Chronically, CT findings illustrate atrophy of affected areas, including bone and muscle, which can be profound as in this case. Similar appearances are observed in other neuromuscular disorders.

This case shows the massive asymmetry of musculature due to polio-related atrophy.

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Case information

rID: 41236
Case created: 22nd Nov 2015
Last edited: 20th Mar 2017
Inclusion in quiz mode: Included

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