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Editorial
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Volume 342:127-129 January 13, 2000 Number 2
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The Weak Child — A Cautionary Tale

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 by Felz, M. W.
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In this issue of the Journal, Felz and colleagues describe a six-year-old child with reversible, but potentially fatal, tick paralysis that was initially thought to be the Guillain–Barré syndrome.1 A suspicious house officer correctly diagnosed the tick paralysis. Since the virtual elimination of poliomyelitis in North America, acute flaccid paralysis in children has become uncommon. Accurate and prompt diagnosis is still a formidable problem, but effective and specific remedies are now available for most causative conditions, if they are identified promptly. In the United States, acute flaccid paralysis in children 3 to 12 years old is often presumed, even by . . . [Full Text of this Article]

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