DAVID T. DENNIS, M.D.
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To the editor: The recent paper by Morgan and Tuloss, "The Jake Walk Blues" (Ann Intern Med 85:804-808, 1976) on paralytic disease caused by poisoning with triortho-cresyl phosphate, reminded me of tragic outbreaks of this affliction that occurred in the Quang Tri Province of Viet Nam during 1970-71.
While serving with a medical assistance team, (Navy MILPHAP N-4), assigned to work within the local health care system in the northernmost province of South Vietnam, I observed small clusters of Vietnamese patients with newly developing spastic quadriplegia. This epidemic paralysis peculiarly attacked family groups. As noted by Morgan and Tuloss, muscle
DENNIS DT. Jake Walk in Vietnam. Ann Intern Med. ;86:665–666. doi: 10.7326/0003-4819-86-5-665_2
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Published: Ann Intern Med. 1977;86(5):665-666.
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