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Aseptic Meningitis and Nonparalytic Poliomyelitis

SAMUEL SASLAW, M.D., Ph.D.; GEORGE R. ANDERSON, D.V.M.
Arch Intern Med. 1961;107(4):568-571. doi:10.1001/archinte.1961.03620040094010.
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The association of enteroviruses with the aseptic meningitis syndrome has been not only of academic interest, but has also offered the clinician an additional buffer against hysteria in his practice. The wide-spread publicity given poliomyelitis in the past 2 decades has raised the sensitivity of both the lay public and physicians to a hyperactive state when the diagnosis of poliomyelitis is considered. Certainly everyone appreciates and respects the seriousness of this disease in the paralytic form. However, when there is no evidence of weakness, but a tentative diagnosis of "nonparalytic" poliomyelitis is made, a chain reaction is frequently encountered similar to that when the patient does have paralytic disease. The hospital and physicians are then bombarded with questions from various persons or groups who were even in the remote vicinity of the patient. Obviously many patients in the past who had been reported as nonparalytic poliomyelitis in reality had other

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