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poliomyelitis |
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poliomyelitis /po·lio·my·eli·tis/ (-mi″ĕ-li´tis) an acute viral disease usually caused by a poliovirus and marked clinically by fever, sore throat, headache, vomiting, and often stiffness of the neck and back; these may be the only symptoms of the minor illness. In the major illness, which may or may not be preceded by the minor illness, there is central nervous system involvement, stiff neck, pleocytosis in spinal fluid, and perhaps paralysis; there may be subsequent atrophy of muscle groups, ending in contraction and permanent deformity. abortive poliomyelitis the minor illness of poliomyelitis. acute anterior poliomyelitis the major illness of poliomyelitis. ascending poliomyelitis poliomyelitis with a cephalad progression. bulbar poliomyelitis a severe form affecting the medulla oblongata, which may result in dysfunction of the swallowing mechanism, respiratory embarrassment, and circulatory distress. cerebral poliomyelitis poliomyelitis that extends into the brain. spinal paralytic poliomyelitis the classic form of acute anterior poliomyelitis, with the appearance of flaccid paralysis of one or more limbs.
poliomyelitis [pō′lē·ōmī′əlī′tis] Etymology: Gk, polios + myelos, marrow, itis an infectious disease caused by one of the three polioviruses. Asymptomatic, mild, and paralytic forms of the disease occur. Several factors influence susceptibility to the virus and the course of the disease: More boys than girls are severely affected, stress increases susceptibility, more pregnant than nonpregnant women acquire the paralytic form of the disease, and the severity of the infection increases with age. It is transmitted from person to person through fecal contamination or oropharyngeal secretions. The disease is prevented by vaccination. Also called Usage notes: (informal) polio. See also acute atrophic paralysis, poliovirus. observations Asymptomatic infection has no clinical features, but it confers immunity. Abortive poliomyelitis lasts only a few hours and is characterized by minor illness with fever, malaise, headache, nausea, vomiting, and slight abdominal discomfort. Nonparalytic poliomyelitis is longer lasting and is marked by meningeal irritation with pain and stiffness in the back and by all the signs of abortive poliomyelitis. Paralytic poliomyelitis begins as abortive poliomyelitis. The symptoms abate, and for several days the person seems well. Malaise, headache, and fever recur; pain, weakness, and paralysis develop. The peak of paralysis is reached within the first week. In spinal poliomyelitis, viral replication occurs in the anterior horn cells of the spine, causing inflammation, swelling, and, if severe, destruction of the neurons. The large proximal muscles of the limbs are most often affected. Bulbar poliomyelitis results from viral multiplication in the brainstem. Bulbar and spinal poliomyelitis often occur together. poliomyelitis (pō´lēōmī´ n a disease produced by a small viral organism that enters the body via the alimentary tract and produces upper pharyngeal, pharyngeal, and intestinal inflammation in its mentor form. In the more severe variety, a subsequent viremia is produced, with extension of the infection to the anterior pulp horn cells and ganglia of the spinal cord, producing a flaccid paralysis. In bulbar poliomyelitis the viral infection involves the medulla, resulting in impairment of swallowing, respiration, and circulation. It is now recognized that three types of viruses are responsible for the nonparalytic, paralytic, and bulbar varieties of poliomyelitis. The condition is rare in the United States due to vaccination by killed viruses (Salk) and attenuated mutant vaccines (Sabin). poliomyelitis inflammation of the gray matter of the brain; also the name applied to the viral disease of humans and also known as polio. feline poliomyelitis see feline polioencephalomyelitis. poliomyelitis suum see porcine viral encephalomyelitis. poliomyelitis Neurology A condition characterized by the selective destruction of anterior horn cells in the spinal cord and/or brain stem, ± leading to muscle weakness, paralysis and respiratory paralysis Etiology Viral, in particular
poliovirus, but also coxsackie A7, enterovirus 71, and others Clinical If extreme, asymmetric flaccid paralysis Lab CSF pleocytosis, ↑ lymphocytes. Cf Aseptic meningitis. Patient discussion about Polio and Post-Polio Syndrome. Q. is polio contagus If i have a friend that had it when he was younger and it went away and then came back can i get it? A. Polio (also called poliomyelitis) is a contagious, historically devastating disease that was virtually eliminated from the Western hemisphere in the second half of the 20th century. http://kidshealth.org/parent/infections/bacterial_viral/polio.html These may help also: http://www.mayoclinic.com/health/polio/DS00572 http://polio.emedtv.com/polio/polio.html Hope this helps. Q. Polio Syndrome pain One of my aunt is taking Neurontin for Post Polio Syndrome pain in her left leg and arm. she did not realize that she had so much pain and that it was keeping her from doing so many things. Is Neurontin recomended for this treatment and how does it help? Will she have problems with Neurontin if she take it long term? Neurontin is greatly helping the pain but not the fatique in these limbs. Should it help the fatigue? A. Neurontin is being given as medication for nerve pain now also...I take 800 mg a day and it was started for back pain and it is also being used in some fibro patients I am learning( i also have fibromyalgia) It didn't cause me a lot of drowsness but amount of medication and medications affect people differently so each person can be different. But with the fatigue fibromyalgia causes maybe I just can't tell the difference b/c before I started it I was tried all the time and that is not any worse. But if your Aunt and yourself feel uncomfortable with this treatment I would suggest a second opinion. Good Luck to your Aunt Q. Help for/with post-polio problems A. Clemon -you'll have to be more specific on what kind of help do you ask for. you seek info? seek other people suffering from post-polio? what? Read more or ask a question about Polio and Post-Polio Syndromeall i can do is give you a good link about it with some info..hope that what you look for: http://www.post-polio.org/edu/pabout.html How to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit webmaster's page for free fun content. |
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