Abstract
We hereby describe a 3-year-old boy who developed severe fulminant sepsis with the
need of urgent intubation, ventilation, and inotropic support. He was admitted to
the pediatric intensive care unit where he was initially ventilated for 10 days. Extubation
failed, so he was reventilated for further 10 days. Neuromuscular blocking agents,
inotropes, steroids, and broad-spectrum antibiotics, including aminoglycosides, were
all used. Weakness of all limbs was noticed on day 7. This was associated with visual
disturbances. He was diagnosed as having critical illness polyneuropathy and myopathy
(CIP/CIM). His outcome was favorable. This case report highlights the unique combination
of CIP/CIM features associated with visual impairment and also suggests that full
recovery is possible for this clinical presentation.
Keywords
polyneuropathy - myopathy - critical illness
