# Childhood Transverse Myelitis with Atypical Fever Presentation: A Case Report

## TL;DR

A 10-year-old boy with transverse myelitis showed unusual fever symptoms and improved after plasmapheresis.

## Contribution

The case highlights TM's atypical fever presentation and the effectiveness of plasmapheresis in pediatric patients.

## Key findings

- A 10-year-old male presented with TM and high-grade fever alongside neurological symptoms.
- MRI confirmed a longitudinally extensive TM lesion.
- Plasmapheresis led to clinical improvement after corticosteroids and antibiotics failed.

## Abstract

Transverse myelitis (TM) is a rare inflammatory spinal cord disorder, particularly uncommon in children. It is characterized by symptoms such as motor weakness, sensory disturbances, and autonomic dysfunction. This report describes a 10-year-old male presenting with bilateral lower limb weakness, urinary and fecal incontinence, and high-grade fever. Initial treatment at a local hospital with corticosteroids and antibiotics did not yield significant improvements, prompting advanced care at a tertiary facility. A magnetic resonance imaging (MRI) confirmed a longitudinally extensive TM lesion. Subsequent management with plasmapheresis led to satisfactory clinical improvement. This case highlights the importance of early consideration of TM in pediatric patients with acute neurological deficits and supports the use of aggressive therapeutic strategies for better outcomes.