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March 7, 1908


JAMA. 1908;L(10):763-764. doi:10.1001/jama.1908.25310360025001g

The etiologic relation of puerperal sepsis to perinephritic abscess has long been known, but the occurrence in my practice of three cases due to this cause, within two years, and the fact that the symptoms and course of the disease in each instance were quite similar, prompted me to report these cases.

Case 1.  —Mrs. G., aged 32, white, was admitted to the hospital Oct. 27, 1904. Family history was of no significance, except that her mother had had consumption. There was no other history of tuberculosis, and no history of cancer. The patient's health was very good until four months before she came under my charge, when she had been delivered of a healthy baby. The confinement was uneventful, and her recovery apparently satisfactory. She had borne three children previously, and there was no history of sepsis or difficult labor in any of these births.About six weeks after