Excerpt from The Alienist and Neurologist, Vol. 38: A Journal of Neurology and Psychology, Psychiatry and Neuriatry; For the Neurologist, General Practitioner and Savant; February, 1917
Profuse perspiration was observed in very few cases. Somnolence is a characteristic feature, present in all the cases, though in degrees varying from drowsiness to stupor, and, in fatal cases, to coma. The somnolence in poliomyelitis is analagous to the typhoid state Observed in most infectious diseases. It is an early sign, sometimes preceding the fever. It is more apt to deepen to stupor in polioencephalitis, but may be as pronounced in simple poliomyelitis. Undoubtedly the early appearance Of somnolence is due to a functional disturbance from irritation Of the cerebral cortex by toxins, and its transitory character is in line with the frequently transitory affection Of the motor nerve apparatus.
Angina has been present in some cases at the onset. Indigestion is a fairly common Sign at the onset. Vomiting was present in ten cases only, but anorexia and mucous, fetid stools were frequent, indicating an acute catarrhal condition of the intestines during the febrile stage. In the fatal cases, the autopsies revealed pronounced catarrh of the intestines with swelling of the solitarv follicles, Peyer's patches and mesenteric lymph glands.
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