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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    subcutaneously. Within 24 hours the temperature was normal. No mus- cular weakness developed. Case 18.—Male. Age 5 years. | September 14, 1916. ‘Temperature 103°F.; headache; drowsy. Sept. 15. Neck and back stiff. Temperature 104°F. Admitted to hospital. Temperature 103.4°F.; pulse 126; respirations 50. No weakness of mus- cles. Cerebrospinal fluid, 379 cells per c.mm.; globulin increased. Within 24 hours of the onset 5 c.c. of serum were given intraspinally and 25 c.c. subcutaneously. Sept. 16. Temperature 101°F. 5 c.c. of serum were introduced intraspinally. Cerebrospinal fluid, 249 cells per c.mm. Sept.17. Temperature normal. No muscular weakness ever developed. Case 19.—Male. Age 4 years. September 17, 1916. Temperature 102°F.; pain in back. Sept. 109. Temperature 102.4°F. Neck and back stiff. Cerebrospinal fluid, 150 cells per c.mm.; increased globulin. Admitted within 24 hours of onset. On Sept. 18, 10 c.c. of serum were injected intraspinally and 25 c.c. sub- cutaneously. 15 hours later the temperature became normal. No mus- cular weakness developed. Case 20.—Male. Age13 months. Cousin of Case 19. September 17,1916. Drowsiness and fever. September 18. Cerebro- spinal fluid clear and contains 75 cells per c.mm.; globulin increased. The patient was given 10 c.c. of serum subdurally and was shortly afterward brought to the hospital. On admission, temperature 101.4°F.; pulse 120; respirations 26. Immediately after admission a subcutaneous injection of 25 c.c. of serum was given. The temperature rose to 104°F. and fell to normal 22 hours afterward. ‘There was no subsequent weakness or paralysis. This patient was treated about 18 hours after the first symptoms. The temperature previous to treatment is not known. After a rise to 104°F. the temperature fell rapidly, reaching normal about 22 hours after the first injection (Text-fig.17). The child developed no subsequent weakness or paralysis. Case 21.—Female. Age 314 years. September 3, 1916. Headache; temperature, 102°F. September 4. Temperature 104°F. September 5. Temperature 101.5°F. Stiffness of neck. September 6. Cerebrospinal fluid clear and contains 230 cells per c.mm.; globulin increased. Admitted to hospital the same afternoon. ‘On admission, temperature 102.4°F.; pulse 130; respirations 42. Stiffness of neck and back; no weakness or paralysis noted. Immediately after admission 5 c.c. of serum were injected subdurally and 40 c.c. subcutaneously. ‘Temperature reached normal 32 hours after treatment. No definite weakness or paralysis developed subsequently. In this case treatment was begun about 3 days after the initial symptoms and at a time when paralysis had not appeared. ‘Treatment was followed
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