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Case Reports
May 1949

MICROCEPHALIA AS A COMPLICATION OF PNEUMOCOCCIC MENINGITIS

Author Affiliations

SAN FRANCISCO
From the Children's Hospital.

Am J Dis Child. 1949;77(5):642-646. doi:10.1001/archpedi.1949.02030040656006

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Abstract

WITH THE advent of chemotherapy and subsequent recovery from a disease formerly 100 per cent fatal, hitherto unsuspected complications can be anticipated. The following case of microcephalia resulting from pneumococcic meningitis is therefore reported.

REPORT OF A CASE  S. N., a 2½ month old white girl, was admitted to Children's Hospital on March 19, 1946 with the presenting complaint of irritability, rigidity and pallor of seven hours' duration. Following her 3 a. m. feeding on the day of entry, the patient was noted to become listless, irritable and, then, semicomatose. She was seen by one of us (H. E. T.), who observed generalized twitching, bulging fontanel and semicomatose state. The temperature was 102 F. rectally. The patient was hospitalized immediately. On her admission respirations numbered 40 to 60 per minute. The lungs, however, were clear to percussion and auscultation. The heart rate was 170 with a tick-tack rhythm. Kernig's reflex

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