Polio history and symptoms: Difference between revisions

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Revision as of 18:47, 2 September 2014

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: João André Alves Silva, M.D. [2]

Overview

Clinical manifestations of poliovirus infection range from asymptomatic (most infections) to symptomatic, including acute flaccid paralysis of a single limb to quadriplegia, respiratory failure, and rarely, death.

History and Symptoms

Most patients with an healthy immune system do not develop symptom of poliomyelitis.

Abortive Poliomyelitis

Commons symptoms of abortive poliomyelitis may mimic those of gastroenteritis and acute respiratory infection, including:^[1]

Non-Paralytic Poliomyelitis

Common symptoms of non-paralytic poliomyelitis may include:^[2]

Paralytic Poliomyelitis

Common symptoms of paralytic poliomyelitis may include those of non-paralytic poliomyelitis. Additional symptoms may include:^[3]^[4]^[5]

References

↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.
↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.
↑ Wood, Lawrence D. H.; Hall, Jesse B.; Schmidt, Gregory D. (2005). Principles of Critical Care, Third Edition. McGraw-Hill Professional. p. 870. ISBN 0-07-141640-4.
↑ Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.
↑ Alcalá H (1993). "[The differential diagnosis of poliomyelitis and other acute flaccid paralyses]". Bol Med Hosp Infant Mex. 50 (2): 136–44. PMID 8442872.

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[1] Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.

[2] Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.

[Encephalitis-3] Wood, Lawrence D. H.; Hall, Jesse B.; Schmidt, Gregory D. (2005). Principles of Critical Care, Third Edition. McGraw-Hill Professional. p. 870. ISBN 0-07-141640-4.

[4] Falconer M, Bollenbach E (2000). "Late functional loss in nonparalytic polio". American journal of physical medicine & rehabilitation / Association of Academic Physiatrists. 79 (1): 19–23. PMID 10678598.

[pmid8442872-5] Alcalá H (1993). "[The differential diagnosis of poliomyelitis and other acute flaccid paralyses]". Bol Med Hosp Infant Mex. 50 (2): 136–44. PMID 8442872.

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@@ Line 40: / Line 40: @@
 * [[Tremors]]
 * [[Skeletal]] deformities
-<!--
-in children, with initial minor symptoms separated by a
-- to 7-day period from more major symptoms. Additional
-prodromal signs and symptoms can include a loss of superficial
-reflexes, initially increased deep tendon reflexes and severe
-muscle aches and spasms in the limbs or back. The illness
-progresses to flaccid paralysis with diminished deep tendon
-reflexes, reaches a plateau without change for days to weeks,
-and is usually asymmetrical. Strength then begins to return.
-Patients do not experience sensory losses or changes in cognition.
-Many persons with paralytic poliomyelitis recover completely
-and, in most, muscle function returns to some degree.
-Weakness or paralysis still present 12 months after onset is
-usually permanent.
-Paralytic polio is classified into three types, depending on
-the level of involvement. Spinal polio is most common, and
-during 1969–1979, accounted for 79% of paralytic cases.
-It is characterized by asymmetric paralysis that most often
-involves the legs. Bulbar polio leads to weakness of muscles
-innervated by cranial nerves and accounted for 2% of cases
-during this period. Bulbospinal polio, a combination of
-bulbar and spinal paralysis, accounted for 19% of cases.
-The death-to-case ratio for paralytic polio is generally 2%–5%
-among children and up to 15%–30% for adults (depending
-on age). It increases to 25%–75% with bulbar involvement.
--->
 ==References==