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Article
December 19, 1896

INTESTINAL PERFORATION COMPLICATING TYPHOID FEVER.

JAMA. 1896;XXVII(25):1305-1306. doi:10.1001/jama.1896.02431030041007
Abstract

Surgical intervention in cases of peritonitis of whatever nature has been attended with such good results that what was considered at first as a bold operation has come to be looked upon as an accepted procedure. Success has attended timely and expeditious operation for peritonitis following perforation of a gastric or intestinal ulcer, as well as similar treatment of tuberculous peritonitis and that form due to pneumococci, and also appendicular peritonitis. In the past it has been customary to describe two varieties of peritonitis complicating typhoid fever, one the result of perforation and the other occurring through propagation. The first is a serious complication, usually widespread in distribution and resulting from perforation of an ulcerated Peyer's patch or solitary follicle; the second is said to be less serious, more limited in extent and resulting through propagation of the infectious process from the intestinal wall to the peritoneum.

Peritonitis due to

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