DO_infectious_disease_slim has symptom disease has location paralytic poliomyelitis bulbar polio A paralytic poliomyelitis that results in destruction located in motor neurons of brainstem, has_material_basis_in Human poliovirus 1, has_material_basis_in Human poliovirus 2, or has_material_basis_in Human poliovirus 3, which are transmitted by ingestion of food or water contaminated with feces, or transmitted by direct contact with the oral secretions. The infection has symptom difficulty breathing, has symptom difficulty speaking, has symptom difficulty swallowing, and has symptom difficulty chewing. UMLS_CUI:C0032372 MESH:D011052 disease_ontology ICD9CM:045.0 SNOMEDCT_US_2025_09_01:64764001 DOID:9786 bulbar poliomyelitis dysarthria dysphagia breathing problems brainstem