File:Pediatrics. (1910) (14767432122).jpg

Identifier: pediatrics2219unse (find matches)
Title: Pediatrics.
Year: 1910 (1910s)
Authors:
Subjects: Pediatrics Children Infants Pediatrics Disease Disease
Publisher: New York : Van Publishing
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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ed as cases of Poliomye-litis, but as Wickman says—taken in connection with thepronounced forms and the peculiarity of the symptoms whichappear different from ordinary cases of gastro-intestinal infectionand toxemia, especially to one who has seen a number of thesecases, the symptomatology with the exception of paralysis is thesame. We must not overlook the fact that the infectious agentmay and does in the epidemic form of thi disease, not only in-vade the anterior horns of the chord but practically any part ofthe central nervous system and the meninges. We often havemeningeal symptoms combined with anterior cord involvement,neuritis and bulbar symptoms. I have seen all of these com-binations in the same patient many times. In fact the menin-geal symptoms preceed the other symptoms so that we mustconsider these abortive cases as cases with only slight meningealirritation and that the organism has been able to overcome theinfection before it damaged the nervous tissues to any extent.
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500 JOHN MILTON ARMSTRONG The gastrointestinal symptoms are secondary to the men-ingeal irritation. My experience as to sore throat described asa symptom by Wickman in so many of his cases, amounts to nomore than a redness which may occur in any case of infectiousfever; it has been conspiciously absent, as a rule, in our caseseven those having typical spinal paralysis. Keeping in mind thesymptoms; such as somnolence, uneasiness, pain in head, neck andalong the spine and nerve trunks, together with weakness andslight spastic phenomena, accompanied by fever and vomiting,has enabled us to diagnose a number of cases before paralysisdeveloped, and I believe that we are often justified in diagnosingabortive cases. I will not deny that many cases have beendiagnosed as Poliomyelitis which evidently were not, as somephysicians seemed to loose sight of other infantile troubles dur-ing the period of our epidemic. After careful consideration,however, while one hesitates in openly making a diagnos

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