Reaction of the Body to Poliomyelitis and the Recovery Process

Guyton, Arthur C.

doi:10.1001/archinte.1949.00220300035002

Cited by 11 publications

(5 citation statements)

References 29 publications

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“…This pattern is consistent with recovery from poliovirus poliomyelitis [24]. Milder weakness (!2 unit decrements by manual muscle testing) and fewer involved limbs tend to be associated with better recovery.…”

Section: Short-term and Long-term Outcomes Of Wnv Infectionsupporting

confidence: 70%

The Long-Term Outcomes of Human West Nile Virus Infection

Hughes

Wilson

Sejvar

2007

Clinical Infectious Diseases

206

100

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Since its introduction to North America in 1999, human infection with West Nile virus (WNV) has resulted in considerable acute morbidity and mortality. Although the ongoing epidemic has resulted in a great increase in our understanding of the acute clinical features of human illness and helped to define associated clinical syndromes, far less is known about potential long-term clinical and functional sequelae. Several recent assessments, however, suggest that patients--even those with apparently mild cases of acute disease--frequently have subjective, somatic complaints following WNV infection. Persistent movement disorders, cognitive complaints, and functional disability may occur after West Nile neuroinvasive disease. West Nile poliomyelitis may result in limb weakness and ongoing morbidity that is likely to be long term. Although further assessment is needed, the long-term neurological and functional sequelae of WNV infection are likely to represent a considerable source of morbidity in patients long after their recovery from acute illness.

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Section: Short-term and Long-term Outcomes Of Wnv Infectionsupporting

confidence: 70%

The Long-Term Outcomes of Human West Nile Virus Infection

Hughes

Wilson

Sejvar

2007

Clinical Infectious Diseases

206

100

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“…Patients developing early dysarthria and dysphagia are at a higher risk for subsequent acute respiratory failure [ 18 ]; for this reason, hospitalization and observation of patients with poliomyelitis is prudent, and the development of dysarthria and dysphagia should be viewed with concern. Management of poliomyelitis due to poliovirus suggests that the initiation of aggressive physical activity during the acute febrile period of illness is associated with more profound and persistent weakness [ 100 ]; in the absence of additional data, the avoidance of aggressive physical activity during the acute febrile illness or during the initial 48–72 h of weakness in WNP would be a reasonable approach, with subsequent application of physical and occupational therapy.…”

Section: Treatment and Managementmentioning

confidence: 99%

Clinical Manifestations and Outcomes of West Nile Virus Infection

Sejvar

2014

Viruses

207

177

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Since the emergence of West Nile virus (WNV) in North America in 1999, understanding of the clinical features, spectrum of illness and eventual functional outcomes of human illness has increased tremendously. Most human infections with WNV remain clinically silent. Among those persons developing symptomatic illness, most develop a self-limited febrile illness. More severe illness with WNV (West Nile neuroinvasive disease, WNND) is manifested as meningitis, encephalitis or an acute anterior (polio) myelitis. These manifestations are generally more prevalent in older persons or those with immunosuppression. In the future, a more thorough understanding of the long-term physical, cognitive and functional outcomes of persons recovering from WNV illness will be important in understanding the overall illness burden.

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“…Patients developing early dysarthria and dysphagia are at higher risk for subsequent acute respiratory failure (Sejvar et al 2005); for this reason, hospitalization and observation of patients with poliomyelitis is advised, and the development of dysarthria and dysphagia should be viewed with concern. Management of poliomyelitis due to poliovirus suggests that initiation of aggressive physical activity during the acute febrile period of illness is associated with more profound and persistent weakness (Guyton 1949); in the absence of additional data, avoidance of aggressive physical activity during the acute febrile illness or during the initial 48-72 h of weakness in WNP would be reasonable.…”

Section: Managementmentioning

confidence: 99%

Viral Infections of the Human Nervous System

Jackson¹

2013

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Reaction of the Body to Poliomyelitis and the Recovery Process

Cited by 11 publications

References 29 publications

The Long-Term Outcomes of Human West Nile Virus Infection

The Long-Term Outcomes of Human West Nile Virus Infection

Clinical Manifestations and Outcomes of West Nile Virus Infection

Viral Infections of the Human Nervous System

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