. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Convexity of the Brain. Epideinic cerebrospinal meningitis withdeath on tlie fiftli day of the disease. Pur-ulent / Lateral View or the »vtim ni die Same Case. MENINGITIS 337 organism—the intracellular diplococcus—gains access to the circula-tion. Cases are observed here and there, and I have seen two suchcases in the last epidemic, in which the disease is complicated bypneumonia, the meningitis and the pneumonia both being due to theintracellular diplococcus. These cases, howeve
. The diseases of infancy and childhood : designed for the use of students and practitioners of medicine. Convexity of the Brain. Epideinic cerebrospinal meningitis withdeath on tlie fiftli day of the disease. Pur-ulent / Lateral View or the »vtim ni die Same Case. MENINGITIS 337 organism—the intracellular diplococcus—gains access to the circula-tion. Cases are observed here and there, and I have seen two suchcases in the last epidemic, in which the disease is complicated bypneumonia, the meningitis and the pneumonia both being due to theintracellular diplococcus. These cases, however, are exceptional. Ithas been supposed that the microorganism gains access to the circu-lation through IjTiiph spaces in the mucous membrane of the nose andconjunctivse. I have published one case in which the Diplococcus intracellulariswas found in the secretion of the conjunctiva in a child sufferingwith the disease, in whom the meningitis had been preceded by aconjunctivitis. Wright has published a case in which the intracellulardiplococcus was found in the nasal secretions of a person sufferingfrom influenza symptoms, mild headache, fever, and constitutionaldisturbances, which might very well have been a mild for
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