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November 13, 1948

ACUTE PERITONITIS FOLLOWING RUPTURE OF MESENTERIC LYMPH NODES: Report of Its Occurrence in a Case of Typhoid and in a Case of Paratyphoid

Author Affiliations

Memphis, Tenn.

From the Department of Medicine and the Department of Surgery, University of Tennessee College of Medicine, Memphis.

JAMA. 1948;138(11):816-817. doi:10.1001/jama.1948.62900110004008

Although involvement of mesenteric lymph nodes in typhoid and paratyphoid is well recognized, suppuration of these nodes with rupture and peritonitis is rare.1 We are reporting a case of acute peritonitis due to such rupture, occurring in the fourth week of typhoid, which simulated an acute perforation of a typhoid ulcer. We are also reporting from the records of the John Gaston Hospital a case of paratyphoid in which there was generalized peritonitis due to rupture of a mesenteric lymph node.


Case 1.—  J. L., a 14 year old white boy, was admitted to the John Gaston Hospital on June 9, 1947, because of fever, periumbilical pain, anorexia and watery diarrhea of one day's duration. This had been preceded by malaise for several days, headache and a chill. The patient had been well until the onset of the present illness. The past history was noncontributory.On