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1955 Royal Free Hospital outbreak
(section)
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== Symptoms == Symptoms included: <div style="column-count:2"> * Severe [[headache]] * [[Malaise]] * Lassitude * [[Vertigo]] * Pain in limbs * [[Nausea]] * [[Dizziness]] * [[Neck stiffness]], [[neck pain]] * [[lower back pain|Pain in back]] * [[Myalgia]], which in some patients caused them to cry out in [[pain]], [[muscle weakness]], [[muscle cramps|cramps]], [[muscle fasciculations|twitching]] * [[Depression]] * [[Abdominal pain]] * [[Vomiting]] * [[Double vision|Diplopia]] (double vision) * [[Tinnitus]] * [[Diarrhea]] * [[Swollen lymph nodes]] * [[Paraesthesia]]<ref name="Ramsay1978" /> </div> Usually by the second or third week of the disease, there was objective evidence of involvement of the [[central nervous system]] which appeared to be characteristic of the outbreak.
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