An Outbreak of Peripheral Neuropathy in a Prison

Prisoners are at risk for both physical and psychological diseases. Here, we report an outbreak of peripheral neuropathy in a prison in northeast Thailand. Between July and December 2014, there were 88 male prisoners at Bueng Kan Provincial Prison in Bueng Kan, Thailand suffering from peripheral neu...

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Main Authors: Somsak Tiamkao, Anuwat Boonsong, Kamol Saepeung, Narongrit Kasemsap, Metha Apiwattanakul, Narupat Suanprasert, Thiravat Hemachudha, Prakai Pithak, Kittiphit Juntee, Chamnan Waisaen, Supat Madha, Rome Buathong, Kittisak Sawanyawisuth
Format: Article
Language:English
Published: Karger Publishers 2019-02-01
Series:Case Reports in Neurology
Subjects:
Online Access:https://www.karger.com/Article/FullText/496536
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author Somsak Tiamkao
Anuwat Boonsong
Kamol Saepeung
Narongrit Kasemsap
Metha Apiwattanakul
Narupat Suanprasert
Thiravat Hemachudha
Prakai Pithak
Kittiphit Juntee
Chamnan Waisaen
Supat Madha
Rome Buathong
Kittisak Sawanyawisuth
author_facet Somsak Tiamkao
Anuwat Boonsong
Kamol Saepeung
Narongrit Kasemsap
Metha Apiwattanakul
Narupat Suanprasert
Thiravat Hemachudha
Prakai Pithak
Kittiphit Juntee
Chamnan Waisaen
Supat Madha
Rome Buathong
Kittisak Sawanyawisuth
author_sort Somsak Tiamkao
collection DOAJ
description Prisoners are at risk for both physical and psychological diseases. Here, we report an outbreak of peripheral neuropathy in a prison in northeast Thailand. Between July and December 2014, there were 88 male prisoners at Bueng Kan Provincial Prison in Bueng Kan, Thailand suffering from peripheral neuropathy out of a total of 1,464 prisoners (6.01%). The common age range was 20–39 years (58 patients; 65.91%). The three most common features were hyporeflexia/areflexia of the lower extremities (36 patients; 83.72%). On laboratory vitamin B1 deficiency was detected in 4/5 patients, positive rhinovirus polymerase chain reaction in 3/4 patients, positive Mycoplasma pneumoniae IgM in 1/12 patients, and positive urinary arsenic in 4/7 patients. A dT vaccination was given on October 14 during the outbreak. This was a large outbreak of peripheral neuropathy in male prisoners. There are several possible causes of this outbreak including vitamin B1 deficiency, dT vaccination, arsenic toxicity, rhinovirus, and Mycoplasma infection.
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spelling doaj.art-65d695046a8b4d8c8ca9a1e97d6b08b52022-12-22T03:48:38ZengKarger PublishersCase Reports in Neurology1662-680X2019-02-01111536010.1159/000496536496536An Outbreak of Peripheral Neuropathy in a PrisonSomsak TiamkaoAnuwat BoonsongKamol SaepeungNarongrit KasemsapMetha ApiwattanakulNarupat SuanprasertThiravat HemachudhaPrakai PithakKittiphit JunteeChamnan WaisaenSupat MadhaRome BuathongKittisak SawanyawisuthPrisoners are at risk for both physical and psychological diseases. Here, we report an outbreak of peripheral neuropathy in a prison in northeast Thailand. Between July and December 2014, there were 88 male prisoners at Bueng Kan Provincial Prison in Bueng Kan, Thailand suffering from peripheral neuropathy out of a total of 1,464 prisoners (6.01%). The common age range was 20–39 years (58 patients; 65.91%). The three most common features were hyporeflexia/areflexia of the lower extremities (36 patients; 83.72%). On laboratory vitamin B1 deficiency was detected in 4/5 patients, positive rhinovirus polymerase chain reaction in 3/4 patients, positive Mycoplasma pneumoniae IgM in 1/12 patients, and positive urinary arsenic in 4/7 patients. A dT vaccination was given on October 14 during the outbreak. This was a large outbreak of peripheral neuropathy in male prisoners. There are several possible causes of this outbreak including vitamin B1 deficiency, dT vaccination, arsenic toxicity, rhinovirus, and Mycoplasma infection.https://www.karger.com/Article/FullText/496536ThiamineArsenicRhinovirusMycoplasma
spellingShingle Somsak Tiamkao
Anuwat Boonsong
Kamol Saepeung
Narongrit Kasemsap
Metha Apiwattanakul
Narupat Suanprasert
Thiravat Hemachudha
Prakai Pithak
Kittiphit Juntee
Chamnan Waisaen
Supat Madha
Rome Buathong
Kittisak Sawanyawisuth
An Outbreak of Peripheral Neuropathy in a Prison
Case Reports in Neurology
Thiamine
Arsenic
Rhinovirus
Mycoplasma
title An Outbreak of Peripheral Neuropathy in a Prison
title_full An Outbreak of Peripheral Neuropathy in a Prison
title_fullStr An Outbreak of Peripheral Neuropathy in a Prison
title_full_unstemmed An Outbreak of Peripheral Neuropathy in a Prison
title_short An Outbreak of Peripheral Neuropathy in a Prison
title_sort outbreak of peripheral neuropathy in a prison
topic Thiamine
Arsenic
Rhinovirus
Mycoplasma
url https://www.karger.com/Article/FullText/496536
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