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Article
July 10, 1909

DECAPSULATION OF BOTH KIDNEYS FOR ACUTE NEPHRITIS FOLLOWING SCARLET FEVER

JAMA. 1909;LIII(2):117. doi:10.1001/jama.1909.92550020028003c

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Abstract

History.  A boy, aged 12, had an ordinary case of scarlet fever with only a moderately high temperature and well-defined rash; was out of bed on the tenth day, feeling well and showing no signs of any complications. Urinalysis, made on the fifteenth day, showed no trace of albumin or sugar; specific gravity of 1023. Twenty days after the onset of the fever the boy was taken with severe vomiting; twelve hours later he had a hard convulsion, and passed a small amount of bloody urine heavily loaded with albumin. The boy was put in hot packs with hot linseed poultices over the kidneys, pilocarpin and digitalin given hypodermatically. This treatment was followed four successive days with no apparent benefit. On the morning of the fifth day there was complete loss of vision and hearing, and a few hours later the patient lapsed

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