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June 1, 1935


Author Affiliations

Superintendent, Sydenham Hospital BALTIMORE
From the Baltimore City Health Department.

JAMA. 1935;104(22):1967-1968. doi:10.1001/jama.1935.02760220013004

The word diphtheria brings to mind a picture of an infection of the pharynx, nose or larynx. Pieces of diphtheritic membrane in the form of casts of the trachea, which at times show the beginning of the bifurcation, are frequently knocked loose and expectorated during the process of intubation. To acquaint the profession with the fact that the diphtheritic infection can extend even beyond the tracheal bifurcation is my purpose in this report of two cases.

Case 1.—  G. C.,, a white boy, aged 6½ years, was brought in a moribund condition, Oct. 27, 1934, to Sydenham Hospital, the communicable disease hospital of the Baltimore City Health Department. The child came from a neighboring rural area. The temperature was 98 F. (rectal), the pulse was so rapid and thready that it could not be counted, and respirations were uncountable. The child's face was cyanotic, the lips were blanched, and he