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June 1917

POSTERIOR BASIC (WALLED-OFF) MENINGITIS. REPORT OF A CASE WITH RECOVERY

Author Affiliations

KANSAS CITY, MO.

Am J Dis Child. 1917;13(6):514-515. doi:10.1001/archpedi.1917.01910060055006
Abstract

Recovery after the development of "walled-off" meningitis is rare. Fisher1 reported the first case recovery in a child. Verbizer and Chauvel2 report recovery in an adult.

REPORT OF CASE  History.—A child, 11 months old, a patient of Dr. Saulberry, developed meningococcic meningitis. Serum treatment was begun late, two weeks after the onset, and was discontinued in the presence of a severe, persistent hydrocephalus, owing to objection by the parents. Four weeks after the onset the child presented the classical picture of "basic" meningitis; opisthotonos was marked, the eyes were wide open, staring, with lids retracted, the face expressionless. Hydrocephalus was extreme; head large, fontanel bulging, sutures widely separated. The heart's action was very irregular; respirations were irregular, of the Biot type. There was persistent tonic spasm of the extremities, with occasional clonic convulsions. Vomiting was repeated and projectile. The temperature reached 102 F., and was of irregular

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