The diseases of infants and children . dic croup {laryngeal form of grippe). In the earlier part of the 1918epidemic catarrhal symptoms, and especially tonsillitis, were decidedly GRIPPE 477 infrequent. Later, as the severity of the cases grew less-marked, tonsil-htis became a very prominent feature. Nervous Form.—In this variety the nervous manifestations pre-dominate and the respiratory anddigestive symptoms are less in evidence(Fig. 149). To this class belong a large number of cases in quite earlylife. There is marked apathy, prostration and loss of appetite. In somecases hyperpyrexia, deli
The diseases of infants and children . dic croup {laryngeal form of grippe). In the earlier part of the 1918epidemic catarrhal symptoms, and especially tonsillitis, were decidedly GRIPPE 477 infrequent. Later, as the severity of the cases grew less-marked, tonsil-htis became a very prominent feature. Nervous Form.—In this variety the nervous manifestations pre-dominate and the respiratory anddigestive symptoms are less in evidence(Fig. 149). To this class belong a large number of cases in quite earlylife. There is marked apathy, prostration and loss of appetite. In somecases hyperpyrexia, delirium, stupor or convulsions may occur, so thatthe case closely resembles meningitis; in others the symptoms of thetyphoid state may develop. Still other cases exhibit marked prostration ,« 7^ 2! ^9 Ja Jl ?,«0, < ,40- VT^ — -80 -. ?3 -70 ?< -M 26 JjL J_. _ _1_ _ Fig. Fig. 150. Fig. 149.—Grippe, Nervous C, aged 19 months. Pale, prostrated, irregular respiration, very drowsy. Nopulmonary symptoms, no diarrhea, vomited only once. Epidemic 150.—Grippe, Nervous Form. Prolonged Febrile F., aged 16 months. Slight cough, apathy, prostration, without any localizedsymptoms. Fever continued a week or more. Twin sister with same symptoms. Casesuggested typhoid fever. Epidemic of grippe prevailing. and continued fever, which, in the absence of special localizing svmptomsat first strongly suggests typhoid fever (febrile form of grippe) (Fig. 150).Occasionally there is severe dyspnea of purely toxic origin. Severecases may sometimes end fatally, although generally in the course of afew days all the; alarming symptoms ameliorate, showing that they weretoxic and not iiiflamiuatory in nature. In other instances actuallesionsof the cerebrospinal system develop as comi)lications or sequels. (See In-fluenzal Meningitis, Vol.
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