Medical and surgical report of the Presbyterian Hospital in the City of New York . nic organ-isms found in blood. 2. Local infections—latent—no organismsin blood—symptoms produced by absorption of toxines fromsome hidden focus of suppuration which finally develops into alocalized abscess, such as abscess of liver, perinephritic abscess,or empyema. The following abstracts of cases illustrate these differenttypes: Malignant Endocarditis. a. Acute type F. M., aged 11 years. Admitted Sept. 25, 1907. Died Oct. 1, 1907. Previous history of chorea and rheumatism, pneumoma and measles. Pres-ent histor
Medical and surgical report of the Presbyterian Hospital in the City of New York . nic organ-isms found in blood. 2. Local infections—latent—no organismsin blood—symptoms produced by absorption of toxines fromsome hidden focus of suppuration which finally develops into alocalized abscess, such as abscess of liver, perinephritic abscess,or empyema. The following abstracts of cases illustrate these differenttypes: Malignant Endocarditis. a. Acute type F. M., aged 11 years. Admitted Sept. 25, 1907. Died Oct. 1, 1907. Previous history of chorea and rheumatism, pneumoma and measles. Pres-ent history: For ten days before admission she had had fever and headache andhad occasionally been delirious. On admission her temperature was °,pulse 120, and respiration 48. The physical examination at this time showedmarked apathy and prostration, a coated tongue, an enlarged heart with systolicmurmurs at the base and apex, a rapid pulse, but of good quantity, theabdomen distended and tympanitic, and an enlarged and palpable spleen. The leucocytes on admission were 15, OS g P. C oo oOOoo O f2ig2222SSS2S Oi OS o P^ a. .....^ t ^ 1 ? • ? • t . *:* • 9^•ifi? 9P/ ^<% :::::k^.::: ..:,...^....:.... Sir 3-hlo-hi 5 ^ ^ ? ? ••;?•••?••?•:• ??••??•?:•???; i • : ; w Q-h jCf- si •^ ::::::^;:; ..:....]....:.... (^ 6= £? ? ? SOI 1 ^ ^ h- «o W °*< CO CM ^ O c^fcOOOOOOOOOO So ?- <e O) OS 05 ^ PH DIFFERENTIATION OF COMMON TYPES OF PROTRACTED FEVER. 43 The clinical diagnosis at this time was typhoid fever. During the following six days the temperature was continuously high,ranging from 102° to 105°, the curve being altogether like that of a most severetyphoid fever. The pulse grew steadily more rapid and weaker and the apathyand prostration deepened. In a general way the course was that of a severetyphoid. But on the 29th, four days after admission, the leucocytes were foundto number 31,500
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