Unilateral Diaphragm Paralysis Following Vaccination

Abstract

Unilateral diaphragm paralysis (UDP) is relatively a rare entity. Currently, phrenic nerve injury following cardiac surgery is probably the most common cause. Here we report a case of symptomatic UDP that developed 5 days following vaccination against polio, Diphtheria (both subcutaneously), hepatitis A and abdominal typhus (intramuscularly). He had no fever or other neurological symptoms or signs. There is only one case report in the literature of UDP following immunization or vaccination with oral polio and triple DTP in a 6 month-old female. In contrast to our patient, here there was evidence of active polio disease with isolation of polio strains from her stool.




J Med Cases. 2012;3(3):164-166
doi: https://doi.org/10.4021/jmc516w