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September 1976

Sensory Losses in Poliomyelitis

Author Affiliations

Dept of Internal Med
Dept of Neurological Rehabilitation
Infectious Disease Unit Chaim Sheba Med Center Tel Aviv University Sackler School of Med Tel-Hashomer, Ramat Gan Israel

Arch Neurol. 1976;33(9):664. doi:10.1001/archneur.1976.00500090070022

Sensory losses in poliomyelitis are rare,1-3 but we recently cared for such a patient with both paraplegia and severe sensory disturbances.

Report of a Case.—  A 19-year-old soldier had noted back pain, neck stiffness, headache, muscle aches, and temperatures of 38 C for eight days. At age 1 year, he had received the formaldehydeinactivated polio vaccine (Salk). At 4 years of age, he had had tuberculosis of the lumbar spine and had received adequate treatment.On admission, his temperature was 38 C and there was mild nuchal rigidity. The remainder of the examination was normal. Routine laboratory values were normal; lumbar puncture showed normal opening pressure with clear fluid containing 500 cells per cubic millimeter, 85% of which were polymorphonuclear leukocytes. The protein concentration was 60 mg/100 ml; glucose level, 60 mg/100 ml; smears for bacteria and acid-fast bacilli, negative; and cultures, sterile. Treatment with intravenously administered ampicillin, 12

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