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September 22, 1945


JAMA. 1945;129(4):273-274. doi:10.1001/jama.1945.92860380002009a

Craddock and Bowers1 described a patient having repeated attacks of pneumococcic meningitis. The patient of Hopkins and his co-workers2 had three acute episodes of sinusitis complicated each time by pneumococcic meningitis. Recovery followed sulfonamide medication and treatment of the sinusitis.

The patient who is the subject of the present report has been under the care of Dr. E. W. Westland in the West Suburban Hospital. When first seen she was 7 years old and had always been well since an uncomplicated skull fracture two and one-half years before. Within four years she has been admitted to various hospitals for five acute attacks of pneumococcic meningitis. The organism isolated from the spinal fluid in three attacks has been type XXI. There is no known focus in the ears, respiratory tract or the accessory sinuses. X-ray examinations of the lung, skull and sinuses have been negative. In each recurrence the