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Case Reports
October 1931


Am J Dis Child. 1931;42(4_PART_I):869-873. doi:10.1001/archpedi.1931.01940160137012

Purpuric manifestations associated with tuberculosis in adults have frequently been described, but they occur so infrequently in infants that the following case is worthy of report.

REPORT OF A CASE  History.—N., a Japanese girl, aged 60 days, entered the hospital on July 23, 1930, with the complaint of progressive abdominal enlargement, which had been noted for two weeks, and vomiting for the previous five days. The patient was breast fed, and the birth and history were not unusual. Three older sisters and the mother were in good health; the father had had fever and cough for the preceding six months, but he said that he did not have tuberculosis.Physical Examination.—The infant was acutely ill and was not weighed. Nutrition and development were normal. The rectal temperature was 101.4 F. The respirations were embarrassed, rapid, short and grunting. The abdomen was tympanitic and moderately distended. The ear-drums were