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January 1932


Author Affiliations

From the Departments of Pediatrics, Obstetrics and Bacteriology of the Michael Reese Hospital; aided by a grant from the Albert Kuppenheimer Fund.

Am J Dis Child. 1932;43(1):70-88. doi:10.1001/archpedi.1932.01950010077009

I. CLINICAL REPORT  An outbreak of infectious diarrhea of unusual bacterial origin had its inception during the months of February and March of 1930 in the nursery for the new-born of the Michael Reese Hospital. Only three severe cases developed during this period, but early in April the disease began to spread rapidly, and a serious situation ensued which lasted until the middle of June.The diarrhea in itself was not alarming, but the associated constitutional manifestations were extremely severe. The infants presented a picture resembling the "alimentary intoxication" of Finkelstein. Dehydration, stupor, icterus, pallor, toxic facial expression and a temperature ranging from 99 to 103 F. were prominent symptoms. The majority of the babies did not have respiratory complications, but in a few otitis media developed late in the course of the disease and in a small number terminal bronchopneumonia. The response to treatment was unsatisfactory, as evidenced by

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