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Case Reports
August 1944


Author Affiliations

From the Department of Pediatrics, the services of Dr. James W. Bruce and Dr. W. W. Nicholson, and the Department of Surgery, University of Louisville School of Medicine.

Am J Dis Child. 1944;68(2):119-121. doi:10.1001/archpedi.1944.02020080039005

W. H., an 11 year old white boy, was admitted to the Children's Free Hospital Oct. 1, 1942. The clinical history was obtained from the child's father. The chief complaint at the time of admission was the presence of fever for the past ten days.

History.—Four weeks prior to admission the patient began having headache, fever and anorexia. He was seen by the family physician at the onset of the illness. Treatment was symptomatic, consisting of administration of cathartics, antipyretics and rest in bed. Under this regimen there was a remission of symptoms. The child had no complaints and was allowed to be ambulatory. The remission lasted for one week. On Sept. 13, 1942 he again had headache and anorexia. Two days later there was a recurrence of the fever accompanied by general malaise, and the boy was again confined to bed. The fever continued, and vomiting occurred. Four

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