The high mortality from meningitis due to the type III pneumococcus shown by the scarcity of the recoveries reported in the literature makes one skeptical of the correctness of the diagnosis when a patient does recover. I think the diagnosis in the case reported here was well substantiated.
I found in the literature reports of four cases in which the condition was treated by various methods with recovery. The diagnosis seemed to be correct, as the type III pneumococcus was recovered from the spinal fluid.
Steinholz and Gleich1 reported the recovery of a girl, aged 7 years, after the use of antipneumococcus serum intraspinally and intracisternally when the intraspinal route became blocked. They also used the serum intramuscularly. They expressed the belief that the child recovered because the infection was localized and the strain of the organism was attenuated.
Cavenagh2 treated a patient on whom he performed a radical mastoidectomy
ALLMAN CH. MENINGITIS DUE TO THE TYPE III PNEUMOCOCCUSREVIEW OF THE LITERATURE AND REPORT OF A CASE OF OTITIC ORIGIN WITH RECOVERY FOLLOWING RADICAL MASTOIDECTOMY AND LABYRINTHECTOMY. Arch Otolaryngol. 1937;25(6):653–656. doi:10.1001/archotol.1937.00650010747005
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