Acute poliomyelitis / by George Draper.

  • George Draper
Date:
1917
Catalogue details

Licence: Public Domain Mark

Credit: Acute poliomyelitis / by George Draper. Source: Wellcome Collection.

    146/172 page 130
    4 130 ACUTE POLIOMYELITIS It is interesting to note that the very marked MacEwen’s sign was not associated with increased pressure of the spinal fluid. Case 37.—H. McC. Girl. 8 years. Freeport, L. I. August 27, 1916. At 6.30 this morning the patient complained of headache and vomited at 9.30 o’clock. At 11.30 A.M., temperature was 103. At 4 P.M. 102. At 5 P.M. 100.4 per mouth. There was slight pain on flexion of the neck. Pulse 138. No patellar reflexes. August 28, 1916. Physical examination showed the posterior neck muscles slightly rigid. Temperature 1toz. No other signs present. Spinal puncture at 24 hours showed a slight increase in pressure. Fluid flocculent, not cloudy. Cell count 240. Temperature 102. At 2 P.M. 15 c.c. of serum was given. The cell count was the same as above. August 20, 1986, . Temperature, ror... At to o'clock 100.8.) F5-€:c,o1 serum was given at 10 A.M. Cell count was not made as child kicked over the tube. General condition of the child much improved. Slept well the night before. Family physician does not think it necessary to repeat the serum, but child will be seen at 9 o’clock to-morrow night, and if necessary serum will be given. August 30, 1916. AtioA.M. 15 c.c. of serum was given. ‘Tempera- ture at this time was 100.4. August 31, 1916. ‘Temperature 99. Child’s general condition good. September 1, 1916. Child has no paralysis and is otherwise in good condition. Discussion.—Puncture at 24 hours showed 240 cells. The child was very sick. The patient received two doses of serum, 30 c.c. in all. Case 38.—A.S. Boy. 12yearsgmonths. Huntington, L. I. August 20,1916. Temperature 105. Child is irritable, constipated, has slight rigidity of the neck muscles, no vomiting and very uncomfortable. August 21, 1916. Temperature 103. The same symptoms with slight increase of stiffness of the posterior muscles of the neck. Physical ex- amination shows anxious facies. Kernig, slight on the left side. There is a decided spasm of the posterior neck muscles. Child is very irritable, constipated, no vomiting. Spinal puncture, at 24 hours, shows fluid under increased pressure. Cell count 222. 15 c.c. of serum were given. August 22, 1916. Temperature 103.5. August 23, 1916. General condition of the patient improved. Slept well night before last. Irritable. Knee jerks, present oh the right side. Less spasm of the posterior muscles of the neck. Temperature normal. Appetite fair. Child had a good night. 15 c.c. of serum given. Cell count 70. Fluid came out very slowly, drop by drop. The posterior neck muscles not so stiff. Back flexible. Reflexes positive. No abnormal temperature. Patient had a very slight right lateral abdominal weakness.
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