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Case Reports
October 1938

PARATYPHOID FEVER COMPLICATED BY MULTIPLE FOCI OF OSTEOMYELITIS: REPORT OF A CASE WITH POSTMORTEM OBSERVATIONS

Author Affiliations

BUFFALO
From the Department of Pathology, Buffalo City Hospital and the University of Buffalo.

Am J Dis Child. 1938;56(4):846-851. doi:10.1001/archpedi.1938.01980160126013
Abstract

Paratyphoid fever due to infection with Salmonella schottmülleri (Bacillus paratyphosus B) is not uncommon. Zinsser and Baynes-Jones1 stated that its incidence may assume epidemic proportions, as occurred during the World War. While the condition may be severe and typhoidlike, the mortality seems to be low: 1.5 per cent, according to Cecil,2 as compared to the 10 per cent mortality of typhoid fever. The incidence of severe complications is correspondingly small. Whereas suppurative lesions of the bones occur frequently in cases of typhoid fever, Veal and McFetridge in 19343 were able to collect but 18 cases of similar complications from the extensive literature on paratyphoid fever. The following case is presented not only because of the unusual, widespread involvement of the bone but because of the severity of the visceral manifestations.

REPORT OF A CASE  History.—For five weeks prior to her admission to the Buffalo City Hospital

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