JOHN R. PAUL, M.D., F.A.C.P.
The title of this paper indicates that it will be concerned with early aspects of diagnosis and therapy. But the adjective early should be especially stressed, for, from the standpoint of the acute infection, the early and critical stage of poliomyelitis has heretofore been regarded clinically as the prodromal stage. By the time patients begin to show evidence of paralysis, and often by the time they reach the hospital, it may be late in the disease and the critical period is already passed. Thus according to Russell1: "the battle to decide the fate of the spinal-cord cells is probably over
PAUL JR. POLIOMYELITIS: EARLY DIAGNOSIS AND EARLY MANAGEMENT OF ACUTE CASES1. Ann Intern Med. ;30:1126–1133. doi: 10.7326/0003-4819-30-6-1126
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Published: Ann Intern Med. 1949;30(6):1126-1133.
CNS Infections, Infectious Disease, Neurology.
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