Abstract The epidemic of poliomyelitis concerned was atypical in many respects.1 Older children and young adults were chiefly stricken. Weakness of muscles associated with severe pain and other symptoms indicating involvement of the brain, posterior horns, nerve roots, nerves and muscles was common, whereas complete flaccid paralysis of even small muscle groups was rare. Convalescence of patients was often greatly prolonged, but ultimate recovery was usually complete. Recurring exacerbations with progression and change of symptoms and lesions occurred in some cases, culminating in a strange and painful disease or state, well designated by the descriptive term "encephalomeningoradiculitis with fibromyositis." The virus was readily demonstrated in the spinal cord2 of patients who died of poliomyelitis during the epidemic but was demonstrated with difficulty in nasopharyngeal washings.3 During a study of the epidemic in 1934 it was found that streptococci isolated from the nasopharynx, urine, stools, spinal fluid and spinal References 1. Hart, T. M., and Luck, J. V.: Orthopedic Aspect of the Los Angeles County 1934 Poliomyelitis Epidemic , Am. J. Pub. Health 24:1224-1228 ( (Dec.) ) 1934. 2. Wilson, J. C., and Walker, P. J.: Acute Anterior Poliomyelitis: Orthopedic Aspects of the California Epidemic of 1934 , Arch. Int. Med. 57:477-492 ( (March) ) 1936.Crossref 3. Rosenow, E. C.; Heilman, F. R., and Pettet, C. H.: Observations on the Epidemic of Polio-Encephalitis in Los Angeles, 1934 , Proc. Staff Meet., Mayo Clin. 9:443-451 ( (July 18) ) 1934. 4. Bower, A. G.; Meals, R. W.; Bigler, M.; Ewing, J., and Hauser, V.: Clinical Features of Poliomyelitis in Los Angeles , Am. J. Pub. Health 24:1210-1212 ( (Dec.) ) 1934. 5. Stevens, G. M.: The 1934 Epidemic of Poliomyelitis in Southern California , Am. J. Pub. Health 24: 1213-1214 ( (Dec.) ) 1934. 6. Meals, R. W.; Hauser, V. F., and Bower, A. G.: Poliomyelitis: The Los Angeles Epidemic of 1934 , California & West. Med. 43:123-125 ( (Aug.) ) 7. 215-222 (Sept.) 1935. 8. Kessel, J. F.; Hoyt, A. S., and Fisk, R. T.: Use of Serum and the Routine and Experimental Laboratory Findings in the 1934 Poliomyelitis Epidemic , Am. J. Pub. Health 24:1215-1223 ( (Dec.) ) 1934. 9. Rosenow, Heilman and Pettet.1c 10. Paul, J. R.; Trask, J. D., and Webster, L. T.: Isolation of Poliomyelitis Virus from the Nasopharynx , J. Exper. Med. 62:245-257 ( (Aug.) ) 1935. 11. Kessel, Hoyt and Fisk.2a 12. Rosenow, E. C.: The Relation of Streptococci to the Viruses of Poliomyelitis and Encephalitis: Preliminary Report , Proc. Staff Meet., Mayo Clin. 10:410-414 ( (June 26) ) 1935. 13. Rosenow, Heilman and Pettet.1c 14. Rosenow, E. C.: Recurring Encephalomeningoradiculitis with Fibromyositis Following Poliomyelitis: A Bacteriologic Study of Sixty-Four Cases , Arch. Int. Med. 64:1197-1221 ( (Dec.) ) 1939. 15. Harmon, P. H.: The Use of Chemicals as Nasal Sprays in the Prophylaxis of Poliomyelitis in Man , J. A. M. A. 109:1061 ( (Sept. 25) ) 1937. 16. Trask, J. D.; Vignec, A. J., and Paul, J. R.: Poliomyelitis Virus in Human Stools , J. A. M. A. 111:6-11 ( (July 2) ) 1938. 17. Kramer, S. D.; Hoskwith, B., and Grossman, L. H.: Detection of the Virus of Poliomyelitis in the Nose and Throat and Gastro-Intestinal Tract of Human Beings and Mondeys , J. Exper. Med. 69: 49-67 ( (Jan.) ) 1939. 18. Kling, C.; Olin, G.; Magnusson, J. H., and Gard, S.: Nouvelles recherches sur l'élimination du virus poliomyélitique par les matières fécales , Bull. Acad. de méd., Paris 121:826-831 ( (June 13) ) 1939. 19. Howe, H. A., and Bodian, D.: Production of Experimental Poliomyelitis from Untreated Stools , Proc. Soc. Exper. Biol. & Med. 41:538-539 ( (June) ) 1939. 20. Paul, J. R.; Trask, J. D., and Culotta, C. S.: Poliomyelitis Virus in Sewage , Science 90:258-259 ( (Sept. 15) ) 1939. 21. Rosenow, E. C.: Isolation of Bacteria from Virus and Phage by Serial Dilution Method , Arch. Path. 26:70-76 ( (July) ) 1938. 22. Rosenow, Heilman and Pettet.1c 23. Rosenow.5 24. Leake, J. P.; Cedar, E. T.; Dearing, W. P.; Gilliam, A. G., and Chope, H. D.: Epidemiology of Poliomyelitis in California, 1934 , Am. J. Pub. Health 24:1204-1206 ( (Dec.) ) 1934. 25. Stevens.1e 26. Rosenow, E. C.: Isolation from the Air of Streptococci and Streptococcal Antigens Resembling Those Associated with Certain Epidemic Diseases , J. Bact. 39:73-74 ( (Jan.) ) 1940.
Archives of Internal Medicine – American Medical Association
Published: Mar 1, 1941
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