The case which I have the honor to report is that of a girl of 6, rather small and thin, but, according to her mother's account, always well except, temporarily, during attacks of measles and whooping cough. Her parents are both living, but are generally intoxicated; if only one be found, the other is probably "off on a spree." The father is a steady drinker and contracted syphilis about twenty years ago. Out of thirteen pregnancies, seven of which terminated by abortion, but two children are still living, a healthy man of 23 and this little girl. The others died between 3 and 10 years of age from various causes. No history of tuberculosis was obtainable.
The patient, who was not living with her mother, was first brought to the dispensary of the University Hospital, July 21, 1902. She had complained of pain in her right side two weeks before;
OSTHEIMER M. A CASE OF PROBABLE GUMMATA OF THE LIVER IN A CHILD OF SIX.. JAMA. 1903;XL(23):1558-1560. doi:10.1001/jama.1903.92490230008002c