- A 4 month-old-male patient presenting weakness and decreased movement of the left lower extremity was transferred to the district hospital. He was born from an uneventful pregnancy and delivery. He was in good health until 1 month before the visit when his parents noticed weakness of left lower extremity. He received OPV with DTaP at local health center 1 month before presenting those symptoms.The physical examination revealed alert mental status, and cranial nerve function tests were all normal. Neurologic examination revealed markedly decreased spontaneous movement and flaccid paralysis on the left lower extremity (GI/V) with knee jerk (+/-), biceps tendon reflex (+/+), and ankle clonus (-/-). Describe in detail about the development of this condition and its prevention.
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