Hemorrhage from the bowel is naturally only a symptomatic manifestation in children as well as in adults. Intestinal ulceration and erosion of a blood vessel constitute the most obvious cause, although the bleeding may take place in connection with a condition of hemophilia. A case has recently been placed on record by Dr. Jos. Esser,1 in which enteritis of syphilitic origin in a newborn child was attended with fatal hemorrhage from the bowel and which is of especial interest on account of the underlying disorder. An illegitimate female child, with jaundice, began on the fifth day of life to have bloody stools, which continued until death occurred on the tenth day. On the sixth day a rapidly progressive bluish-red swelling appeared on the dorsum of the left hand and ruptured toward night, discharging blood. On postmortem examination there was found, in addition to osteochondritis, indurated enlargement of the spleen
SYPHILITIC ENTERITIS SIMULATING MELENA IN THE NEWBORN. JAMA. 1901;XXXVII(19):1255. doi:10.1001/jama.1901.02470450035011
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