Beginning in Vallbona collaborated with HCHD community health centers to instruct new physicians in providing healthcare outside of hospital settings. He retired as chair of the BCM department of community medicine upon its merger with the department of family medicine in Vallbona received numerous awards and honors for his contributions to academic medicine and to community health.
He was elected outstanding faculty on five different occasions by Baylor students. Throughout his career he served as a consultant to various national and international agencies, including the National Center for Health Services Research, the World Health Organization, and the Pan American Health Organization.
He served on the advisory boards of a number of medical journals. Carlos Vallbona continued caring for patients at the post-polio clinic at TIRR until , when he retired after suffering a stroke. He passed away due to complications from pneumonia on August 5, , in Houston. Andrea Henderson, ed. Houston Chronicle , August 9, New York Times , December 9, Britni N. Keywords: late effects of polio, paralytic poliomyelitis, polio survivor, post-polio syndrome.
Introduction Poliovirus PV is a member of human enterovirus species C. Case report A year-old woman presented with back pain, progressive muscle weakness and cramps in the left leg.
Discussion During the post-polio eradication era, the rate of isolation of nonpolio enteroviruses remains a clinical yardstick for the surveillance of acute flaccid paralysis AFP cases in the field. Conclusion Post-polio syndrome is related to the exhaustion of the motor units that form decades after the polio attack. Ethics, consent and permissions Written informed consent has been provided by the patient to have the case details published.
Author contributions Both authors contributed to data analysis, drafting or revising the article, gave final approval of the version to be published, and agree to be accountable for all aspects of the work. Disclosure The authors report no conflicts of interest in this work. References 1. Post-poliomyelitis syndrome as a possible viral disease. Int J Infect Dis. Surviving polio in a post-polio word. Soc Sci Med. EFNS guideline on diagnosis and management of post-polio syndrome.
Report of an EFNS task force. Eur J Neurol. New problems in old polio patients: results of a survey of polio survivors. Post-poliomyelitis syndrome. Muscle Nerve. European Handbook of Neurological Management. Oxford: Blackwell Publishing; — Cien Saude Colet. World Health Organization. Geneva: WHO; Accessed July31, The Polio Eradication and Endgame Strategies. Disintegration of the motor unit in post-polio syndrome. Part II. Electrophysiological findings in patients with post-polio syndrome.
Electromyogr Clin Neurophysiol. Postpolio syndrome: poliovirus persistence is involved in the pathogenesis. J Neurol.
Jubelt B, Meagher JB. Poliovirus infection of cyclophosphamide-treated mice results in persistence and late paralysis: II. Virologic studies. Intravenous immunoglobulin treatment of the post-polio syndrome: sustained effects on quality of life variables and cytokine expression after one year follow up.
J Neuroinflammation. Physicians diagnose the condition after completing a comprehensive medical history and physical examination, and by excluding other disorders that could explain the symptoms. Physicians look for the following criteria when diagnosing PPS:. Diagnostic tests include:. There are currently no effective treatments that can stop deterioration or reverse the deficits caused by the syndrome itself, but there are recommended management strategies.
Individuals with PPS should seek medical advice from a physician experienced in treating neuromuscular disorders. A number of research studies have demonstrated that non-fatiguing exercises those that do not cause pain or fatigue lasting more than 10 minutes may improve muscle strength and reduce tiredness.
Cardiopulmonary endurance training also is helpful. Exercise should be considered under the supervision of an experienced health professional. Mobility aids, ventilation equipment, and revising activities of daily living activities can help to avoid rapid muscle tiring and total body exhaustion. Counseling may help individuals and families adjust to the late effects of poliomyelitis. Support groups that encourage self-help, group participation, and positive action can be helpful.
Lifestyle changes, such as weight control, the use of assistive devices, and taking certain anti-inflammatory medications, may help with some of the symptoms of PPS. NIH is the leading supporter of biomedical research in the world. Scientists are working on a variety of investigations that may one day help individuals with PPS. Some basic researchers are studying the behavior of motor neurons many years after a polio attack.
Others are looking at the mechanisms of fatigue and are trying to learn more about its possible causes. Researchers also are developing and refining interventions to help people with chronic conditions more effectively manage fatigue and sleep disturbances. Determining if there is an immunological link in PPS also is an area of interest.
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