The treatment of infantile paralysis / by Robert W. Lovett.

  • Robert W. Lovett
Date:
[1916], ©1916
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Licence: Public Domain Mark

Credit: The treatment of infantile paralysis / by Robert W. Lovett. Source: Wellcome Collection.

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    all cases. The references refer to unusual variations in the symptoms. Miiller: ‘‘Munch. Med. Wchsft.,” Jan. 23, 1912. Colliver; “journ. A. M. A.,” Mar. 15, 1913. Wachenheim: “N. Y. Med. Journ.,” Nov. 8, 1912. Frissell: “journ. A. M. A.LVI, No. 9. Koplik: “Am. Journ. Med. Soc.,” June, 1911. Batten: “Journ. A. M. A.,” LXII, No. 15, p. 1200. Pearson: “Birmingham Med. Review,” Apr., 1910, p. 148. An attack apparently confers immunity although one or two instances have been reported where a second attack seems to have occurred. Ordinary Spinal Type.—It is unnecessary to take up in detail the symptoms of this, the common type, long recognized and described, but a summary of its features should be given. After an acute onset of greater or less severity a motor paralysis appears, reaching its maximum in the following period after the attack:1 Same day.. One day... Two days.. Three days Four days.. Five days.. Six days... Cases Per Cent. 95 16.12 93 I5-78 103 17.49 98 16.63 58 9.84 22 3-73 5i 8.65 From an analysis of 589 cases. Early symptoms frequently seen are feverishness, drowsiness, sweating, often gastro-intestinal symptoms, stiffness in the neck and back, difficulty with micturition or defecation.2 Sore throat, delirium and convulsions are other occasional early symptoms.3 The onset of the disease is accompanied by tenderness in the great majority of cases, which tenderness persists for from one week to two or three months and leads to many diagnostic errors. 1 “infantile Paralysis,” R. W. Lovett and M. W. Richardson, “Am. Jour. of. Dis. of Children,” December, 1911, p. 369. 2F. R. Fraser: “Clinical Observations on Ninety Cases,” etc., “Am. Jour. Med. Sci.,” July, 1914. 3Lovett and Richardson: “Am. Jour, of Dis. of Children,” December, 1911.