A Case of Polio Due to Virus Type I Manifested only by Right Facial Poralysis

Abstract

A non-paralytic polio case only with manifestation of facial paralysis is reported in this paper.
A 3 year-old female was admitted with chief complaints of paralisis of lower facial muscle and orbital muscle. No paralysis of cranial nerves and extremities was noted, except facial one.
This fairly advanced muscle paralysis disappeared after six weeks.
Attempts to isolate causative organismus were made with spinal fluid and stool specimens through HeLa and MK cells resulting in successful isolation of polio virus type 1.
Complement fixation test was repeated from the 7th to the 28th day of illness.
Whereas antibody titer against polio virus type 1 was elevated from 1/16 to 1/32, those against type II and III remined 1/8 even during convalescence.
These clinical and laboratory findings proved this case to be one with polio virus type 1.