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June 10, 1905


Author Affiliations

Assistant Professor of Obstetrics George Washington University. WASHINGTON, D. C.

JAMA. 1905;XLIV(23):1847-1849. doi:10.1001/jama.1905.92500500027001g

The following case of puerperal sepsis is presented for consideration:

History.  —Mrs. X., aged 20, primipara, with a history of gonorrhea a few months earlier, was delivered on June 9, no unusual features characterizing the labor. On the third day following delivery she complained of a chill and the temperature was found to be 101 F. With a slight morning remission, the temperature continued to rise until 105 F. was recorded on the third day. I first say the case at this time.

Course of the Disease.  —For five weeks the temperature ranged between subnormal and 105, on July 20 becoming normal and so remaining for five days. At no time during the illness was there evidence of much pain or tenderness about the uterus and appendages, the predominant and alarming feature being a profound exhaustion. On July 25, the patient complained of tenderness in the left shoulder and elbow;