History.
—H. R., a boy aged 7, was admitted to the German Hospital July 17, 1913. The patient was born in Germany. He had been in the United States for the previous two years. He was breast fed for only a few days. He began to walk at one year, and, according to his parents, developed normally in every respect. He had never been sick before the present illness. There is no family history of lues, tuberculosis or alcoholism. The father and mother and one younger brother are living and well.The present illness began about three months prior to admission, when the parents noticed that the abdomen was gradually increasing in size. About the same time the patient began to complain of weakness, and a pallor developed. His appetite became poor and he began to lose weight. These symptoms were gradually progressive. There was no history of cough, fever