CLINICAL HISTORY.—This was the first hospital admission of a 5-week-old girl. Her parents stated she had been well until the evening prior to admission when she became "pale and limp" and seemed to be having difficulty breathing. The father gave artificial respiration, and in about 20 minutes she regained her color and started breathing regularly. The parents said that her temperature was 104 F (40 C). She was given aspirin, and cooling measures were carried out. The patient was seen by her physician the morning of admission at which time she was found to have a stiff neck and was in opisthotonus. She was sent to the Los Angeles Childrens Hospital with a provisional diagnosis of meningitis or neonatal tetanus. The mother's pregnancy was uneventful, and the infant was born at term by low forceps delivery and weighed 3,340 gm (7 lb 5 oz). For the week prior to admission,
GWINN JL, BARNES GR. Radiological Case of the Month. Am J Dis Child. 1965;109(5):457–458. doi:10.1001/archpedi.1965.02090020459015
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