History.—J. McC, a white boy, aged 4 months, whose family history was negative, had had rhinitis two or three times. He was breast fed for three months, then he was fed on whole milk mixtures until his death. He did not have any gastro-intestinal disturbances. He was a first born child. The labor had been normal. His present illness dated from the day after his birth when his mother noticed that his breathing was more noisy than normal. He was not cyanotic and did not seem to be in distress. This noisy breathing became more and more pronounced. He had been cyanotic only once, for about five minutes, when he seemed to strangle. His appetite was good. Breathing was always more difficult after a meal or when crying.
Physical Examination.—This showed a malnourished, white, male infant, lying quietly in bed; no distress; sensorium clear; skin rather dry and
BRUCE JW. RESPIRATORY OBSTRUCTION RESULTING IN DEATH: CASE REPORT WITH NECROPSY FINDINGS. Am J Dis Child. 1922;23(5):438–441. doi:10.1001/archpedi.1922.01910410065007
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