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February 13, 1954

Méningite tuberculeuse & tuberculose miliaire de l'enfant: Leur traitement

JAMA. 1954;154(7):632. doi:10.1001/jama.1954.02940410088030

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This monograph contains an analysis and synthesis of the authors' experiences based on 644 patients entering their service between January, 1947, and October, 1952. In August, 1952, 286 (52%) were alive. The major consideration was to study tuberculous meningitis in the infant and its treatment from the point of view of clinical forms, biological examination, and anatomic lesions. Much of the information is not new, but the changes due to treatment are new in transforming the course of the disease. The symptoms are rapidly modified by treatment; intracranial hypertension signs disperse, consciousness returns, temperature drops, and the course becomes favorable unless the causative organisms are resistant. The subacute form thus may become chronic. Diverse complications were noted. The subject is covered in detail with the aid of many illustrations. The etiology and the initial period of tuberculous meningitis, the principle forms of evolution, complications, clinical forms, cerebrospinal fluid, bacteriology, the

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