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October 22, 1910


Author Affiliations

Surgeon to St. Vincent and Hillman Hospitals BIRMINGHAM, ALA.

JAMA. 1910;55(17):1442-1443. doi:10.1001/jama.1910.04330170020006

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The case report with its post-mortem findings demonstrates the fact that the roundworm is at least worthy of consideration as an etiologic factor in the production of bowel obstruction in children. The case should further demonstrate the fact that no cautious surgeon should ever pass unnoticed the statement of an anxious mother that "the baby has worms," in casting about for an explanation of the suspected trouble in certain obscure abdominal cases occurring during childhood. Then perhaps fewer certificates would be issued in which the cause of death was attributed to "intestinal paralysis, superinduced by toxemia."

History.—  On Aug. 4, 1910, I was called in consultation with Dr. Elwyn Ballard to see E. J. W., a male child, aged 5½ years. The following history was given by the child's mother: From the date of its birth the child had been unusually strong, never having had even the diseases common to childhood, except measles, from which it promptly recovered. About April 1, 1910, however, according to the mother, the child became peevish, restless at night, had poor appetite, sallow

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