January 31, 1942


JAMA. 1942;118(5):399. doi:10.1001/jama.1942.02830050061027

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To the Editor:—  In view of the wide publicity given the Kenny method of treatment of acute poliomyelitis, a copy of the treatment given in the 1906 edition of Osler's Practice of Medicine (p. 917), which I enclose, may prove of interest:The treatment of acute infantile paralysis has a bright and a dark side. In a case of any extent complete recovery cannot be expected; on the other hand, it is remarkable how much improvement may finally take place in a limb which is at first completely flaccid and helpless. The following treatment may be pursued: If seen in the febrile stage, a brisk laxative and a fever mixture may be given. The child should be in bed and the affected limb or limbs wrapped in cotton. As in the great majority of cases the damage is already done when the physician is called and the disease makes no

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