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September 20, 1941


Author Affiliations

Akron, Ohio; Cleveland
From the Children's Hospital, Akron, Ohio, the Division of Contagious Diseases, City Hospital, and the Department of Pediatrics, Western Reserve University School of Medicine, Cleveland.

JAMA. 1941;117(12):1013. doi:10.1001/jama.1941.72820380002009a

The presence of poliomyelitis in epidemic form in various parts of the United States during this summer and fall, the obvious increase in the incidence of the bulbar type of the disease and the suspected association between tonsillectomies and bulbar types of paralysis make the present preliminary report of general interest.

Five of six children, aged 11, 9, 8, 7 and 6 years, had a tonsillectomy and adenoidectomy on August 22. The operations were done under general anesthesia and under the strictest of aseptic precautions in a clinic, and the children went home the same day in good condition. Three of the children began to show symptoms of poliomyelitis on September 3. One child probably started to have symptoms on the 3d and another on the 5th of September. All the symptoms were referred to the gastrointestinal tract—anorexia, nausea and vomiting. Dysarthria and dysphagia developed in 3 of the children

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