Diseases of infancy and childhood (1914) (14771751372)

Identifier: diseasesofinfan00fisc (find matches)

Title: Diseases of infancy and childhood

Year: 1914 (1910s)

Authors: Fischer, Louis, 1864- (from old catalog)

Subjects: Children

Publisher: Philadelphia, F. A. Davis company (etc., etc.)

Contributing Library: The Library of Congress

Digitizing Sponsor: The Library of Congress

Text Appearing Before Image:

some frothing at the mouth. Otherwise the general condition was good.The temperature was 98° F.; respiration, 80, and pulse, 120. On October 21st, the ventricles were again irrigated with 40 cubic centimetersof normal saline solution, and 20 cubic centimeters of serum w^ere injected. October 24th, the childs general condition was very poor. Opisthotonos wasmarked. The body rigidly bent in the form of a bow. The arms were rigidlyextended and the palms everted outward. October 25th, and during the following week, daily injections of 30-50 cubiccentimeters of serum were injected either into the ventricles or, on two days, intothe spinal canal and lateral ventricles. The total amount of Flexner serum injectedwas 180 cubic centimeters; the total amount retained in the ventricles and spinalcanal was about 100 cubic centimeters. The child made a complete recovery. ■ This case was presented at the Section on Pediatrics, New York Academyof Medicine, March 10, 1910.2 See Plate XLT. \.y\K XI.

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Covol)ros))iiial ^Nrcniiigitis duo to the Tnnuoiiza Bacillus. ^1. .1. Aiiteviovpovobniin covered with a tliick miico-purulent exudate. 7>*, B. yonnalc;M(l)ruin, C. Superior longitudinal sinus. D. ReHected integuments.E. Frontal sinus. This infection has heen seiu by nip in an infant 4 monthsold. The infection ))rol)al)ly enters through the lymph channels in the naso-pharynx, lluis reaching the base of tlie brain. The bat-illus may als*,) itaveentered ilirongli tlu> frontal sinus. in the spinal lluid as well as in theAcntricular lluid a pur(> enilut iiilluen/.a batilhis was found. Theinfant dicMJ of com ulsions. Ilie autopsy )>(M-fi>rmed by Dr. .lohu Larkinsho\\(Hl the antcMior two-thirds of tlu^ ceri>bnnn was i-overed wiih a thiik.muco-purulent, greenish e\udat(\ che(>sy in eliaracti>r. Tlu eonvidutionsof the cer(>br>im w (M-(> oblitcMated and toxined by a thick exutlate. thesurfac(> of which was niai-ked Ity many whitish nodules and

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1914

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