Case Reports
June 1947


Author Affiliations

From the Departmentt of Pediatrics, Long Island College Division, at Kings County Hospital.

Am J Dis Child. 1947;73(6):688-693. doi:10.1001/archpedi.1947.02020410039004

THE GENUS Salmonella is a serologically related group of organisms occurring in human beings and animals. They are primarily enteric pathogens, but may produce various clinical pictures. These have been described as "typhoid-like," gastroenteritis or enterocolitis and sepsis with bacteremia, with or without localization. The latter is often secondary to the enteric type, and probably accounts for the parenteral complications that are encountered. These include meningitis,1 osteomyelitis,2 pneumonia3 and focal abscesses.4

In infants and children, Salmonella infections usually manifest themselves as enteric infections, with diarrhea as the presenting symptom. Cases may occur sporadically or epidemically. The presence of bacteremia is of serious import and introduces the possibility of parenteral localization.

In addition to the complications already noted, the occurrence of cardiac complications is more than a mere possibility. The literature contains several reports of such cases (the table). Gouley and Israels5 reported a case of

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