An American text-book of the diseases of children .. . o adopt the expression of Gowers, a blood-state, which findsits local expression and its anatomical manifestation in the anterior spinal graymatter. The elective action of certain drugs upon the spinal centres leadsnaturally enough to the supposition that a ptomaine or leucomame might havea similar selective tendency, as, for instance, that of diphtheria is known tohave for the peripheral nerves, or of hydrophobia for the central idea receives some support from instances in which more than one caseoccurred at the same time i
An American text-book of the diseases of children .. . o adopt the expression of Gowers, a blood-state, which findsits local expression and its anatomical manifestation in the anterior spinal graymatter. The elective action of certain drugs upon the spinal centres leadsnaturally enough to the supposition that a ptomaine or leucomame might havea similar selective tendency, as, for instance, that of diphtheria is known tohave for the peripheral nerves, or of hydrophobia for the central idea receives some support from instances in which more than one caseoccurred at the same time in a given family ; and several practical endemics ofthe disease are on record. The whole question is yet undecided, but the in-fection theory would seem to be the best working hypothesis. Symptoms.—Usually without apparent provocation the child is found tobe feverish and ill. A temperature of 100° to 102° F. has been frequentlynoted, and this febrile invasion-stage lasts from a few hours to a few days, when ACUTE ANTERIOR POLIOMYELITIS. 91 Fio. 1. Leg Type, with Marked Cal-caneus. Fig. 2. paralvsis and tlaccidity of one or more limbs ire detected. It is not rare, how-ever, for the child i ur to bed apparently well and to awake paralysed in themorning. The febrile movement may be attended byvomiting and diarrhoea, by convulsions of a generalisedcharacter, or by delirium and diffuse cerebral manifes-tations. As -11 as the paralysis is noted the caeusually recognised. Most writers state that rarely thereis a complaint of pain in the afflicted members, hut therule i< that sensation in all its phases i- entirely is probable, however, that early dysesthesia, owing to the age of the patient and a lack of eaivtul search for such difficulty, has been many times overlooked. Insome considerable number of cases during the initiallever handling of the affected limbs provoked outcries, which were not elicited by similar manipulation of theother members; and it is likely that
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Keywords: ., bookcentury1800, bookdecade189, booksubjectchildren, bookyear1895
