A probable imported case of poliomyelitis in Malaysia

26 We report a previously well 10-month-old Somalian girl who acquired asymmetric lower limb weakness 27 in July 2013 in Mogadishu, Banadir, before arriving in Malaysia at 12 months of age. In May 2013, there 28 was a wild poliomyelitis outbreak in the area, as reported by the World Health Organization. A laboratory 29 investigation including cerebrospinal fluid was unremarkable, and electrophysiological studies showed 30 active axonal denervation in the left lower limb. The whole spine T2-weighted MRI revealed 31 non-enhancing hyperintensities of the bilateral anterior horn cells, predominantly over the left side at 32 ions r 33 2 w f 34 the 35 er d 36 we i37 hs o r 38 po n, 39 he l c40 y a 41 d. 42