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December 3, 1910

Die spinale Kinderlähmung.

Author Affiliations

Eine klinische und epidemiologische Studie. Von Dr. Eduard Müller, Direktor der Medizinischen Universitäts-Poliklinik In Marburg, mit Unterstützung von Dr. med. M. Windmüller Assistenzärztin der Poliklinik. Paper. Price, 6 marks. Pp. 170, with 21 illustrations. Berlin: J. Springer, 1910.

JAMA. 1910;55(23):2002. doi:10.1001/jama.1910.04330230060031

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This rather extensive monograph gives a complete description of the epidemiology, etiology, pathology and clinical features of acute anterior poliomyelitis as studied in an epidemic in the vicinity of Marburg. As a review of the entire subject it serves its purpose excellently, but as an original contribution it adds little to the advancement of this subject. By means of accurate reporting of all cases it was evident that the disease usually spreads by direct contact, but that in some instances it was carried by a third person, and in exceptional cases doubtful evidence seems to implicate the soil. The incubation period varied from five to ten days. The description of the clinical features of the disease is excellent. Depending on the epidemic the respiratory and gastro-intestinal types may be differenciated. The three cardinal symptoms of onset, the hyperesthesia, the hyperhydrosis and the leukopenia, form a triad that is practically never

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