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Article
February 15, 1908

WHOOPING COUGHCOMPLICATED BY ACUTE NEPHRITIS, LOBULAR PNEUMONIA AND LEFT-SIDED HEMIPLEGIA.

Author Affiliations

Instructor in Medicine, Medico-Chirurgical College; Assistant Physician Philadelphia Hospital; Physician Out-Patient Department Presbyterian Hospital and Old Man's Home. PHILADELPHIA.

JAMA. 1908;L(7):530-531. doi:10.1001/jama.1908.25310330038003c
Abstract

E. S. M., aged 4 years and 8 months; breast fed; has had none of the diseases incident to childhood except whooping cough, which began six weeks prior to May 14, 1907. The cough was moderately severe, four to eight paroxysms daily, with considerable eructation; the child was not considered ill, and was not under medical observation. She was carefully fed, kept in the open air a great deal, which may have had some influence on the nephritis because of the extreme dampness and cold prevalent during this period. Suddenly, at 5 p. m., May 14, 1907, while on the porch, the child was seized with a general convulsion, which was immediately followed by coma, absolute and continuous for the next ten days. Convulsions recurred at 5:30 and 8 p. m. and 1 a. m. Careful inquiry elicited no indiscretion in diet. However, the intestinal tract was thoroughly emptied by

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