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y Leg pain (calf muscles)y Moderate fevery Muscle stiffnessy Muscle tenderness and spasm in any area of the bodyy Neck pain and stiffness

Symptoms usually last 1 - 2 weeks.

PARALYTIC POLIOMYELITIS

y Fever 5 - 7 days before other symptomsy Abnormal sensations (but not loss of sensation) in an areay Bloated feeling in abdomeny Breathing difficultyy Constipationy Difficulty beginning to urinatey Droolingy Headachey Irritability or poor temper controly Muscle contractions or muscle spasms in the calf, neck, or backy Muscle pain

Treatment

Antibiotics for urinary tract infections Medications (such as bethanechol) for urinary retention Moist heat (heating pads, warm towels) to reduce muscle pain and spasms Painkillers to reduce headache, muscle pain, and spasms

Prevention

Polio immunization (vaccine) effectively prevents poliomyelitis in most people(immunization is over 90% effective).

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References

1. Modlin JF. Poliovirus. In: Mandell GL, Bennett JE, Dolin R, eds.Principles and Practiceof Infectious Diseases. 7th ed. Philadelphia, Pa: Elsevier Churchill Livingstone;2009:chap 171.

2. Silver JK. Post-poliomyelitis syndrome. In: Frontera WR, Silver JK, Rizzo Jr TD, eds.Essentials of Physical Medicine and Rehabilitation. 2nd ed. Philadelphia, Pa: Saunders

Elsevier; 2008: chap 137.