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May 28, 1938


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JAMA. 1938;110(22):1804-1806. doi:10.1001/jama.1938.02790220006003

Twenty-seven cases of meningitis supposedly due to the gonococcus, reported before 1909, have been reviewed by Henderson and Ritchie.1 Bradford and Kelley2 have summarized twenty cases reported since that time and added another which they themselves encountered. Strumia and Kohlhas3 have cited thirty-eight reports. All these authors have pointed out that proof of the identity of the causal organism with the gonococcus has not been offered in all cases and that a few of the diagnoses were made on circumstantial evidence. Most of the reported cases fall roughly into two groups: meningitis in adults accompanying or following gonococcic infection of the genital tract, and meningitis in newborn infants following infection at birth. In an occasional instance the meningitis followed a septicemia without any other apparent focus of gonococcic infection.

The National Institute of Health at Washington, D. C., has for several years past been making a special