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Article
August 29, 1931

ACUTE STREPTOCOCCUS PERITONITIS, PLEURITIS, AND EPIDIDYMITIS: REPORT OF A CASE

JAMA. 1931;97(9):610. doi:10.1001/jama.1931.27310090001007

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Abstract

This illness, and the recovery from it, being so unusual, I give the details, believing them to be of interest.

Nov. 19, 1930, I was called in consultation to see an infant, aged 9 months, who had been ill with intermittent chills and fever for three weeks. Medical assistance had not been invited until a few hours before the consultation.

During the two preceding days there had apparently been severe pain in the abdomen. There had been no vomiting. The child's appetite had been poor. The bowel movements had been normal.

The patient was a well developed and well nourished white boy. He had been born normally at full term and had been breast fed; he had gained satisfactorily and had never before been ill.

On examination, he appeared acutely ill. The abdomen was markedly distended; there were moderate rigidity and apparently considerable tenderness in the right lower quadrant. On

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