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January 1, 1910

PERFORATING ULCER OF THE SIGMOID—A SEQUEL TO MEASLES

JAMA. 1910;LIV(1):47-48. doi:10.1001/jama.1910.92550270001001s
Abstract

Involvement of the intestinal tract in measles is by no means an unusual complication, diarrhea and dysentery being occasionally seen, in a careful review of the available literature found in the library of the New York Academy of Medicine, I failed to find any record of intestinal perforation in this disease; but it is logical to presume that it could occur. Various authors state that post-mortem findings have shown Peyer's patches to present the same ulcerated condition found in typhoid fever. Dawson Williams,* of London, in speaking of gastrointestinal complications of measles, mentions a case in which dysentery occurred and postmortem examination showed intense enterocolitis of sigmoid and rectum, with ulceration identical with that seen in true dysentery.

REPORT OF CASE 

History.  —A. S., farmer boy, aged 14, one of several children, had had good health until he became sick with measles in February, 1909. The attack was

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