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Article
May 1954

PNEUMOCOCCIC MENINGITIS FOLLOWING AN UNUSUAL ACCIDENT: Report of a Case with Recovery

Author Affiliations

URBANA, ILL.
From the Department of Pediatrics (Dr. Dukes) and the Department of Otorhinolaryngology (Dr. Lore), Carle Memorial Hospital and Carle Hospital Clinic.

AMA Arch Otolaryngol. 1954;59(5):594-597. doi:10.1001/archotol.1954.00710050606012
Abstract

PNEUMOCOCCIC meningitis is still a serious illness in children; however, when adequate treatment is started early in the disease a favorable outcome should be expected. Schwemlein and associates1 demonstrated measurable amounts of penicillin in the spinal fluid of all patients receiving 20,000,000 or more units of penicillin by continuous drip over a 24-hour period. Following this, it was shown that when 1,000,000 units of penicillin were given intramuscularly at two-hour intervals the spinal fluid concentrations were between 0.08 and 1.25 units per cubic centimeter eight hours after treatment was begun.2 Ruegsegger,3 in an analysis of 637 cases, noted that pneumococcic meningitis secondary to infections within the head or injuries to the head had been more amenable to treatment than that which was secondary to pneumonia. The case presented here demonstrates an unusual type of head injury. The child developed pneumococcic meningitis following the injury and made an

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