Patient's question:
High fever, once reaching over 39°C, after the fever subsided for 2 days, morning leg pain after going to bed, only able to walk normally after a period of exercise. Desired assistance: Please seek guidance from a doctor...Doctor's answer:
Still cannot be diagnosed as paralysis. Recommendations:Mild polio accounts for 80% to 90% of clinically diagnosed infectious cases and primarily occurs in children. The clinical manifestations are mild, with no involvement of the central nervous system. After exposure to the pathogen, symptoms such as mild fever, discomfort, headache, sore throat, and dry cough may appear 3 to 5 days later, typically resolving within 24 to 72 hours. Severe cases often follow a few days of mild symptoms before suddenly worsening, more commonly without any prodromal symptoms, especially in older children and adults. The incubation period is usually 7 to 14 days, though it can occasionally be longer. After onset, symptoms include fever, severe headache, neck and back stiffness, deep muscle pain, and sometimes hyperesthesia or paresthesia. During the acute phase, urinary retention and muscle spasms may occur, with deep tendon reflexes initially absent but possibly not further progressing. However, deep tendon reflexes may recur, along with asymmetrical muscle weakness or paralysis, primarily depending on the location of spinal or medullary involvement. Respiratory failure may result from paralysis of respiratory muscles due to spinal involvement or from direct viral damage to the respiratory center. Difficulty swallowing, nasal reflux, and a nasal voice during speech are early signs of medullary involvement. Encephalopathic signs are occasionally prominent. Cerebrospinal fluid glucose is normal, with mild protein reduction and a cell count of 10 to 300 cells/μl (lymphocytes predominant). Peripheral white blood cell count is normal or mildly decreased.