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A newly adopted 7-year-old girl from Liberia has a history of poliomyelitis 2 years ago. She had flaccid paralysis of her legs that made her bedridden for 6 months. She has recovered all strength and has no complaints at this time. The parents would like to know if they should be concerned about any residual effects of the infection. How should they be counseled?
The child has no risk of further paralysis or weakness from polio
The child may experience muscle weakness and fatigue as an adult
If the child has no recurrent episodes of paralysis by the time she reaches skeletal maturity, then she will never have further weakness
The child will certainly have weakness and possibly paralysis as an adult, and therefore she should abstain from sports to prevent further muscle injury
The child will most likely be wheelchair bound by the age of 25 years.
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