A Case for Diagnosis

Abstract

By FLORENCE EDMONDS, M.D. H. W., AGED 6. Full term baby, weight 72 lb. Normal confinement. Suffered badly with eczema, and difficult to feed, otherwise normal, and development proceeded normally. A bright child, but very disobedient. All functions normal. Speech normal and able to say alphabet and to count. April, 1926.-Three months' excitement. Voluntary speech gradually ceased but patient answered questions. July, 1926.-Gradually became better, had laughing fits, but not speaking at all. Not sleeping well. Bowels constipated, appetite fair. September, 1926.-Very restless again, running up and down room. Appetite enormous and all thought seemed concentrated on food. Answered questions occasionally, but very indistinctly. Sleeps better. Bowels regular. Since then has gradually become vindictive to other children, but in other ways has improved. He will sometimes sit up and play with his toys quite intelligently. His appetite is normal and he is sleeping well. Specimen: Kidneys obtained Post Mortem from a Case of Pyelonephritis. Shown by EVELYN SCOTT, M.D. R. J. F., AGED 6 months. Admitted June 21, 1927. Child had been sick and fretful for ten days. On admission there was marked meningismus, with a high temperature. The fontanelle was depressed and the cerebro-spinal fluid was not under pressure. Both kidneys were easily palpable. The urine contained abundant Bacillus coli and pus cells. Death four days after admission.