The following case of hemiplegia developed in a boy during convalescence from scarlet fever. The basis of the cerebral symptoms was a markedly hemorrhage encephalitis focal in the parietal lobes. The reaction is histologicalhy characterized, aside from large areas of hemorrhage and a few superficial or meningeal areas of frank suppuration, by a tremendous proliferation of phagocytes. The phagocytes for the most part contain blood corpuscles and dilate or supplant the pial and adventitial meshes. In places, the phagocytes occupy the space of lost brain substance which has undergone acute fatty degeneration:
G. N., an American boy of 5 years, was admitted to the South Department of the Boston City Hospital, Dec. 13, 1902, with a few hours' history of vomiting and sore throat.The boy was well developed and nourished and only moderately prostrated. The roof of the mouth was slightly reddened. The tongue was
SOUTHARD EE, SIMS FR. A CASE OF CORTICAL HEMORRHAGES FOLLOWING SCARLET FEVER. JAMA. 1904;XLIII(12):789–792. doi:10.1001/jama.1904.92500120002f
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