May 1910


Author Affiliations


From the Pathological Laboratory of the Presbyterian Hospital, New York.

Arch Intern Med (Chic). 1910;V(5):510-518. doi:10.1001/archinte.1910.00050270064006

The striking similarity which exists between typhoid and paratyphoid fever holds true not only for their mode of onset and clinical manifestations, but also as regards the character of complications encountered. Secondary paratyphoid infections of the bone, joint, testicle, middle ear and bladder have all been reported; while, according to Lorrain Smith,1 intestinal hemorrhages occur in 5 per cent. of all cases.

The frequency of typhoid cholecystitis would, therefore, warrant the expectation of often meeting gall-bladder disease in paratyphoid fever. While this expectation may be warranted, I have been able to collect from the literature only six authentic cases of paratyphoid cholecystitis. Lorey2 reported a case of paratyphoid cholecystitis, Type B, in 1908, and asserted that he could find in the literature no other cases of that type which were entirely free from objections.

In looking over the records of cultures taken from the last fifty-two cases

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