АкушерствоАнатомияАнестезиологияВакцинопрофилактикаВалеологияВетеринарияГигиенаЗаболеванияИммунологияКардиологияНеврологияНефрологияОнкологияОториноларингологияОфтальмологияПаразитологияПедиатрияПервая помощьПсихиатрияПульмонологияРеанимацияРевматологияСтоматологияТерапияТоксикологияТравматологияУрологияФармакологияФармацевтикаФизиотерапияФтизиатрияХирургияЭндокринологияЭпидемиология

ACUTE POLIOMYELITIS WITH PARALYSIS LYTIC TYPE INTEGRATION

Loman A., age 10 years, started with violent headache, pains in back and legs, vomiting, high fever 104, and pulse 128 on February 3, 1944, in the afternoon.

The next morning his legs were paralyzed and the pains were worse. He shrieked with pain. Our examination showed the legs paralyzed from hips to toes, perfectly flaccid and without any tendon reflexes, or voluntary motion. When a sharp point was used to prick the soles of the feet, he made no response. The spinal fluid was taken and agreed with the standard findings foranterior poliomyelitis. There was no time wasted in withholding the Treatment, as the back was becoming paralyzed too, and his screaming was getting worse. Two cc of the same Reagent and dilution was used here too, at 11 a.m. By 2 p.m., he was more comfortable, the vomiting ceased, and the headache and pains were yielding. At 7 p.m., he could move his legs, the fever had left, and he ate a light supper.

The next morning he could walk to the bathroom. The recovery was rapid after that. He suffered a reaction during the third week, with chills and fever for three hours, and with pains in the spine and legs. This showed there was some symbiotic integration, as always occurs more or less in the lytic type. But here the violence of the spread of the infection, the very unusual fever and pulse, indicate a predominantly lytic infection and this is confirmed by the rapid recovery.

Дата добавления: 2015-07-23 | Просмотры: 643 | Нарушение авторских прав