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January 4, 1902

A CASE OF FATAL VACCINATION INFECTION WHICH RESEMBLED APPENDICITIS.PERITONITIS FOLLOWING INGUINAL ADENITIS AND RETROCECAL PURULENT INFILTRATION.

JAMA. 1902;XXXVIII(1):34-35. doi:10.1001/jama.1902.62480010034002

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Abstract

On March 12 the patient, a female, age 15 years, was brought into the Presbyterian Hospital, presenting symptoms of acute appendicitis. She was in a state of semi-stupor. Her temperature was 102, and her pulse 120. The abdomen was quite tympanitic and very tender to the touch. There was marked muscular rigidity over the right side. She held her right leg in flexion and any movement of the limb caused intense pain.

Professor Fenger saw the patient in consultation soon after her entrance and decided to operate immediately.

Her stomach was washed out and she was taken to the operating room. After the patient was anesthetized a vaginal examination was made. This proved to be negative. The McBurney incision was made. As soon as the abdominal cavity was opened, some clear serous fluid was found. Cultures were made from this but unfortunately they were subsequently spoiled. The appendix was found

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