Acute poliomyelitis / by George Draper.

  • George Draper
Date:
1917
Catalogue details

Licence: Public Domain Mark

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

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    cells dropped to 580. This patient, as many others, became much more acutely ill following the intraspinal injection. Case 44.—G.S. Boy. 614 years. Northport, L. I. September 11, 1916. Patient at this time vomited. Temperature 102, lasting 12 hours. Constipated. Then well until the 18th, a 7-day interval. : September 19, 1916. Patient complained of pain in the right leg and headache. Temperature 1tor.5. Right knee jerk exaggerated. Slight rigidity of the neck. Physical examination shows: temperature 101.5. Muscle tenderness of both thighs. Spine sign present. Reflexes normal. Lumbar puncture, at 17 hours, pressure increased. Cell count 270. Globulin + —. 10 c.c. serum given. f September 20, 1916: Temperature 102. Spine sign present. Double Kernig. Stiff neck. Lumbar puncture: fluid turbid under pressure. Cell count 300. Acute retention. Relieved by catheterization. 15 c.c. of serum given. September 21, 1916. Temperature normal. No weakness or paralysis. Voided spontaneously. September 29, 1916. Child up and about the ward. No paralysis or weakness. Discussion.—This case was treated 17 hours after the onset of the second hump. There were then 270 cells. No further treatment was given. The unusual length of the free interval is a striking feature of the case. Case 45.—A. H. Boy.- 214 years. Westbury, L. I. September 15, 1916. Patient had a temperature of 104. ‘Tonsils en- larged and red with white spots. Lumbar puncture was done at this time. Pressure was normal. Cell count 5. ‘Temperature was normal for 3 days following. September 18, 1916. A colitis came on and the patient’s temperature rose again, reaching 104. . September 20, 1916. Temperature 103. No spine sign. Reflexes normal. ‘Tonsils normal. Lumbar puncture was done at 48 hours and slightly increased pressure was found. Cell count 39. Globulin +. No weakness of any muscles. . September 21, 1916. Physical examination shows weakness of the right deltoid. Spine sign present. Neck quite stiff. Temperature nor- mal. Lumbar puncture: pressure +. 30 c.c. of fluid were withdrawn. Cell count 33. 10 c.c. of serum were given. , September 22, 1916. ‘Temperature last night was ror. Temperature this morning was 99. Spine sign still marked. Right arm weaker than yesterday. ‘Knee jerk and Achilles slightly increased. No other paraly- sis. Lumbar puncture: fluid, pressure +., 10 c.c. of serum given. Child to be sent to the Garden City Hospital to-day. September 25, 1916. Temperature normal since last night. Paralysis
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